Many people have contributed greatly to the
development of this manual.
Our greatest thanks go to the many women with
developmental disabilities who have faced the challenges of gynecological
care and helped us 'figure out what works.' We are also indebted
to the health care providers who work with these women in a spirit
of respect and shared learning.
Kathleen Lankasky, Director of the Women's
Health Project at United Cerebral Palsy of the Golden Gate had
the original conception of expanding the older Table Manners
booklet into a more comprehensive guide to the gynecological
exam for women with developmental disabilities; and she directed
the project to its completion.
Much of the original content of Beyond
Table Manners was developed by Katherine M. Simpson through
the Planned Parenthood: Shasta-Diablo Disability Program. Significant
contributions were also made by Zoe Lockert under a grant that
agency received from the California Health Partnership serving
Solano and Napa Counties. The manual's extensive section on Complementary
Therapies was written by Maureen Berndt, an expert on acupressure
and other complimentary approaches to wellness. The Breast Health
Access Project for Women with Disabilities of Alta Bates-Summit
Medical Center contributed important information on the issues
around breast health access and the breast exam for women with
The sections of this manual covering alternative
positions for the pelvic exam, transferring, and other special
concerns were first published by Planned Parenthood of the Golden
Gate in 1981 in a booklet entitled, Table Manners. Special
thanks go to this organization for giving permission to expand
upon and update their original work.
Significant contributions to content were
provided by Susan Dupuis, MPH, Disability Program Manager, Planned
Parenthood: Shasta-Diablo, and by Priscilla Abercrombie, N.P.,
Ph.D. Both women gave the handbook an intense professional review
and provided many useful suggestions.
Suzanne Hobesh contributed three original
sketches for the body of this manual; and Kevin Taylor provided
the cover art. The design and layout of the manual were the work
of Designs by Mort.
Lisa Kleinbub, Manager of Health and Behavioral
Sciences at the Regional Center of the East Bay was responsible
for obtaining and managing the Wellness grant that supported
publication of this manual.