Delay in finding man with Down syndrome reveals gap in alert system

Theresa Vargas • November 3, 2023
Rashawn Williams at a Cheesecake Factory restaurant on Friday. He had been missing for six days in Montgomery County, Md. (Family photo)

Rashawn Williams at a Cheesecake Factory restaurant on Friday. He had been missing for six days in Montgomery County, Md. (Family photo)

As Jimmy Hall tells it, after nearly a week of searching for his son, he no longer expected to find him alive.


“I had pretty much given up all hope,” he told me on a recent afternoon. “I started checking in the woods and in the creek. My parents started looking in the dumpster. At that point, I was searching for a body. I was searching for my son’s body.”


Hall had plenty of reasons to let that dark thought settle in his mind at the time. He knew the odds were against his son, Rashawn Williams, a 31-year-old man with Down syndrome who doesn’t speak much and wouldn’t be able to ask for help.


After Williams slipped away from his caretaker and boarded a bus, then a train, Hall and other family members searched from Maryland to D.C. for him. They searched through the night and woke up early to start searching again, and as they searched, they watched one day turn into four days and four days turn into six days.


“The gap just widened and widened and widened,” Hall recalled. “We were just waiting and waiting and waiting.”


If you followed Williams’s story at the time, then you know how it ended — unexpectedly. On that sixth day, he was found in a room down a corridor at a Metro stop. He had gone without water or food for nearly a week, but he was alive and, miraculously, he was healthy.


It would be easy for Williams’s family to focus on that happy ending and move on. But Hall said they can’t because they know how the search started — unacceptably.


Hall and his wife, Christina Hall, said after they learned that Williams was missing, they expected their phones to buzz with an alert that would let the public know to keep a look out for him. When that didn’t happen, Christina Hall asked an officer to send one. The couple said that’s when they learned that Williams did not meet Maryland’s criteria for an Amber Alert, which is for abducted children, or a Silver Alert, which is for adults over the age of 60 with cognitive impairments. The couple is now trying to bring attention to that gap in the state’s alert system in hopes of pushing officials to find a way to send public alerts when disabled adults who are at serious risk of harm go missing.


“We were fortunate,” Hall said. “But what about the next family? What about the next individual who goes missing? Because it will happen again.”


Hall said he has no doubt that if an alert had been sent immediately after his son’s disappearance, he wouldn’t have spent six days alone in a dark space, cold, thirsty and hungry.


“He would have been found that night,” Hall said. People look at their phones when they ride the bus, so those people on the bus with him would have seen the alert, he said. So, too, would have the people who rode the Metro with him. “He rode the train for over three hours. He came in contact with maybe 1,000 people that night. Somebody would have noticed him.”


The family’s call for an expanded alert system is one that warrants our attention, especially when we consider how easily Williams’s story could have ended differently. If he had not survived, we would be demanding an examination of the actions and inactions that took place after his disappearance. But it shouldn’t take a death to get us to collectively consider where the system could make improvements.


Williams’s family is trying to get us to see now — before it’s too late and our outrage is mixed with mourning — what they saw during their most panicked moments: an alert system that held no place for him.


Christina Hall said the days that followed his disappearance, she got bombarded with questions from people who wanted to know why she wasn’t requesting an alert. “I’m trying,” she recalled telling them, “but he doesn’t qualify.” She said she asked the police if an exception could be made for him and was told no. (Police shared a missing person’s poster of Williams on social media and with news outlets, but it did not mention he has Down syndrome or indicate that he was vulnerable.)


The Maryland State Police, which established the state’s Silver Alert program, lists among the required criteria: “The missing person is at least 60 years of age.” The national requirements for an Amber Alert, which is aimed at helping abducted children, lists as one of the criteria: “The child is under the age of 18.”


Elena Russo, a spokesperson for Maryland State Police, sent me the national guidelines in an email, along with a statement addressing the police response. “Using all the resources available, the Maryland State Police disseminated the information, sharing it with the public and law enforcement agencies regarding the missing person, Rashawn Williams,” she said. “As a critically missing person, the MSP shared information to engage as many people as possible in the effort to safely locate him.”


A look at Silver Alert programs across the country show that the criteria vary by state. Some states have programs that allow them to issue alerts for people younger than 60, and some states have created separate alert systems for individuals with disabilities. Texas and Alabama have Endangered Missing Persons Alert programs that are designed to help adults with intellectual and developmental disabilities.


Those inconsistencies have not gone unnoticed by people with disabilities, their families or the organizations that serve them.


“Rashawn’s disappearance emphasizes the urgent need for updated Silver Alert laws that explicitly address and protect individuals with disabilities, including those with Down syndrome,” Michelle Sagan, of the National Down Syndrome Society, told me in an email. “It is crucial to introduce stronger, more inclusive language in these alerts to ensure the safety and swift recovery of our community members. Consistent and uniform Silver Alert laws across the nation is paramount in providing comprehensive support and protection for individuals with disabilities.”


Leigh Anne McKingsley, the senior director of disability and justice initiatives for The Arc, has spent the last several years working with Project Home Safe, a program aimed at reducing injury and death among people with dementia and developmental disabilities who wander from safe environments. The program encourages public discussion around issues such as locative technology — which can help locate a person who goes missing but can also take away some of their privacy when they aren’t in danger. McKingsley said in that same way. more conversations are needed around alert systems.


“We want to find out what really works,” she said. Too often, she said, “we kind of just do what we’ve been doing without having larger conversations around it in our communities.”


One argument against expanding alert systems is that if too many alerts are sent, people start to tune them out. But how many more would Maryland send if the alert system was expanded to include people with intellectual disabilities who are at high risk of harm? If 20 people on that bus with Williams had ignored the alert but five took notice, would that have been enough to get him to safety sooner? Would it make more sense for the state to expand its Silver Alert program or to create a new program?


These are questions we should be asking as a community. We should be asking them, because a family who just a few weeks ago was looking for a body are warning us about the stakes of ignoring them.


Image from https://www.ridehirta.com/invisibledisabilities
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Robert F. Kennedy Jr. testifies before the U.S. Senate Committee on Finance concerning his nominatio
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rom left, Laura Howell, CEO of Maryland Association of Community Services; Ande Kolp, executive dire
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Pixabay Stock Photo
By Zoe Beketova, Yale University December 11, 2024
People with disabilities (PWD) make up 25% of the U.S. population. They face elevated mental health concerns and are more likely to utilize mental health services compared to non-disabled individuals. Yet, PWD also report higher unmet mental health service needs and barriers to accessing care. Dr. Katie Wang, Ph.D. '14, associate professor in the Department of Social and Behavioral Sciences at the Yale School of Public Health (YSPH), and colleagues recently examined the experiences of PWD who engaged in mental health services. The study is published in [ 01 ] the journal SSM - Qualitative Research in Health. "We interviewed 20 U.S. adults with a wide range of visible and invisible disabilities," said Wang, a social psychologist and the study's lead author. "Participants identified ableism as a major concern when they talked about their experiences in seeking mental health services ." Ableism is prejudice and discrimination against people with disabilities, based on the belief that people without disabilities are superior. It can be conscious or unconscious and is embedded in institutions, systems, and society as a whole. It manifests in many forms, including harmful stereotypes, misconceptions, and generalizations. This can include the belief that people with disabilities are less able to contribute and participate in society; and the belief that people with disabilities are to be pitied or viewed as inspirational rather than just as normal human beings. Participants in the qualitative study [ 02 ] ranged in age from 22 to 67. Their disabilities included chronic health conditions (e.g., epilepsy), mobility disabilities (e.g., spinal cord injury), sensory disabilities (e.g., blindness) or, for a majority, a mixture of different disabilities alongside mental health conditions. Upon speaking with the participants about their experiences with mental health care providers, the researchers identified several recurring themes. A common experience cited was providers holding misplaced assumptions about the impact of disability on mental health as well as a general lack of knowledge about disability, either overlooking the connection between mental health and the disability or minimizing the role of disability in a person's life. Many participants also described providers not believing their lived experiences, being stereotyped, or ignored. "These results underscore the importance of emphasizing disability competency when training the next generation of mental health providers," Wang said. Care is a challenge for people with multiple minority identities The study also explored the quality of mental health care received by individuals with multiple minority identities, including having a disability. Such individuals often struggle with receiving professional help, yet little research exists on the issue. One of the participants, when discussing an unhelpful provider, said that it's hard for them, as a person with many minority identities, "to know which identity it is and why it triggered them [the provider]." The researchers found that having intersecting minority identities—such as being Black or transgender and disabled—presents additional barriers to receiving quality care. Systemic ableism undermines good intentions Another major point raised by participants was the systemic ableism within mental health care systems. "What struck me in particular is the findings pertaining to systemic ableism, specifically, how even well-intentioned mental health care providers can perpetuate ableism, given that they are working in a fundamentally ableist system," Wang said. "None of the people … want to hurt us, but the structures are built to hurt us and so they always will," one of the participants stated. Participants raised this point when discussing the emotional pain providers often unwittingly caused them during a mental health session. A need for better access to care A final point identified in the study was that physical accessibility barriers also present obstacles for PWD accessing mental health care. Telehealth, a form of online health care support, has been praised for mitigating some of the physical barriers that people face, but not all participants in the study could navigate virtual interactions. For example, lip reading is particularly difficult behind a virtual screen, some deaf or hard of hearing participants said. "I think what we want to be careful of, and what a lot of participants were warning against, is we should not be thinking of telehealth as a silver bullet," Wang said. "It does not fix accessibility across the board. It does not remove all access barriers. But having telehealth as an additional tool in the toolbox is definitely a benefit for the disability community." In response to the findings, the researchers are calling for systemic structural reforms such as increased training on disability competency for providers as well as the recruitment and—vitally—retainment, of disabled faculty and students to normalize discourse. For practitioners, the study recommends self-education on disability awareness and more of a focus on improving accessibility to their care, whether through increased flexibility, universal design practices, or openness to learning about disabilities. Wang stressed that ableism is more than just an interpersonal phenomenon: it is deeply embedded in health care systems. With YSPH's focus on addressing inclusivity, intersectionality, and belonging in public health and health care, studies such as Wang's shine a light on the experiences of PWD across different conditions and identities when seeking mental health support. More information: Katie Wang et al, Ableism in mental healthcare settings: A qualitative study among U.S. adults with disabilities, SSM - Qualitative Research in Health (2024). DOI: 10.1016/j.ssmqr.2024.100498
Special Olympics World Winter Games Turin 2025 Logo
December 11, 2024
The President will host a dinner honoring Special Olympics athletes as they prepare to compete at the upcoming Special Olympics World Winter Games in Turin in March 2025.
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