Historic Materials Survey - Western Pennsylvania Disability History and Action Consortium

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If you know of historic materials (collections, papers, artifacts, oral histories, etc.) about disability history in Western Pennsylvania, we'd like to add them to the collections on our website. If you need help preserving them, we can help with that too

Your First Name
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Your Last Name
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Organization Name (if applicable)

Mailing Address

Your Email Address
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Your Phone Number

Are you answering this survey on behalf of yourself or on the behalf of an organization? *

Self

Organization

If you are answering on behalf of an organization, what is the name of the organization?

Please briefly summarize the historic materials (collections, papers, artifacts, oral histories, etc.) about disability history in Western Pennsylvania that you or your organization has in its possession.
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Time Period(s) of Historic Materials
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Please indicate the time period represented in the historic material held by you or your organization. Check all responses that apply.

1700 - 1799

1800 - 1899

1900 - 1950

1951 - 1999

2000 - present day

Not sure / need help to determine this

Required

Type of Historic Materials
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Please indicate the types of historic materials held by you or your organization. Check all that apply.

Personal Writings (e.g. diaries, published and unpublished works, correspondence).

Materials related to the founding and operation of a residential facility or care establishment, such as constitutions, mission statements, meeting minutes, annual reports, newsletters, correspondence, photographs, and other administrative records.

Materials related to the founding and operation of a community service agency or advocacy group, such as constitutions, mission statements, meeting minutes, annual reports, newsletters, correspondence, photographs, and other administrative records.

Audio or visual recordings of speeches, presentations, panel discussions, trainings. Interviews with individuals, families, service workers.

Legal or government documents pertaining to landmark litigation, laws, codes, allocation of resources, demographics, regulations, rules, service practices, position papers.

Visual images, including photos, slides, portraiture, landscapes, and prints that depict people with disability, prominent disability leaders, and places where people with disability resided, worked, or received education or treatment.

Educational material for teaching children or adults with disabilities, including primers, lesson plans, curricula, manuals, teacher writings.

Artifacts of institutional life, including worker and resident uniforms and apparel, adaptive equipment, pharmaceutical containers, cribs, beds, bedding, signs, dishes and eating utensils, and therapeutic equipment such as shock therapy machines, lobotomy tools, and instructional manuals.

Architectural renderings of plans for buildings, homes, workshops and institutional grounds.

Admission/discharge and other recipient records prior to 1950, including data that may be subject to confidentiality rules and protocols.

Other:

Required

Populations Represented in Historic Materials *

Please indicate which of the following disability groups are represented in the historic materials held by you or your organization. Check all responses that apply.

People with developmental or intellectual disability.

People with physical disability.

People with mental health disability.

People with vision disability.

People with hearing disability.

People with speech disability.

People with medical conditions that have largely been eradicated, such as polio, scarlet fever, tuberculosis.

People who were incarcerated or placed in institutions by the criminal justice system.

Other:

Required

Use of Historic Materials *

Have you or your organization used historic materials related to people with disabilities within the last 10 years? Check all responses that apply.

As part of public education, community outreach, media relations, or advertising.

Available for research purposes to researchers or the general public.

Available to people doing family roots/genealogy research.

As appointments that decorate organizational offices, meeting rooms, and/or hallways.

As the basis for conference or panel presentations by organization's employees or service recipients.

As the basis for performing arts, such as a play, musical, movie or documentary that explores the history of people with disabilities.

As part of orientation for training personnel, board members, and partner agencies.

As part of educational curriculum at the elementary, middle school, high school, or college/university level.

None of the above.

Other:

Required

Organization of Historic Materials *

Please indicate the current manner in which the historic materials are organized.

All (or nearly all) of the historic materials are in labeled folders and labeled boxes. All (or nearly all) photographs are labeled. All of the historic materials are itemized in an inventory list or finding aid (collection guide).

Most of the historic materials are in labeled folders and labeled boxes. Most photographs are labeled. Most of the historic materials are itemized in an inventory list or finding aid (collection guide).

Some of the historic materials are in labeled folders and labeled boxes. Some of the photographs are labeled. Some of the historic materials are itemized in an inventory list or finding aid (collection guide).

Few or none of the historic materials are in labeled folders and labeled boxes. Few or none of the photographs are labeled. Few or none of the historic materials are itemized in an inventory list or finding aid (collection guide).

Unknown / not sure.

Organizational Resources *

Please indicate the resources your organization dedicates to the preservation and use of historic materials. Please check all that apply.

The organization has a library, research room, archives, museum, or other permanent space dedicated to the preservation and use of historic materials related to people with disabilities.

The organization employs or contracts with professionals or uses volunteers to oversee its historic collection and/or use of historic materials.

The organization has received grants or used other resources for historic preservation or history-related training, community outreach, or education.

The organization does not dedicate resources for this purpose.

I am not affiliated with an organization.

Other:

Required

Preservation of Historic Materials *

Please indicate the overall preservation of the historic materials owned by you or your organization. Please check all that apply.

Good to excellent, with state-of-the-art protective housing (e.g. acid-free folders and acid-free boxes), proper environmental controls, and adequate security.

The historic materials are generally in a condition that would keep them from being lost or seriously deteriorated in the near term.

Some of the historic materials are in satisfactory condition, but a significant portion is at risk of being lost, destroyed, or compromised due to storage conditions or other circumstances.

The historic materials are in a precarious condition or at immediate risk of loss or deterioration due to storage conditions or lack of planning.

The condition of the historic materials is unknown.

Other:

Required

May we contact you for additional information about your historic materials? *

Yes

Would you like to receive information about resources for preserving your historic materials or finding a repository for them? *

Yes

Please use this box for comments, questions or additional information.

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This form was created inside of Western Pennsylvania Disability History and Action Consortium.