Policy and Systems Change

Examine how policies affect people, identify barriers, and develop practical recommendations for change.

Home & ways to work together

Public health, sexual health & sexology

Policy and Systems Change

Examine how policies affect people, identify barriers, and develop practical recommendations for change.

A policy can sound reasonable until you are the person trying to use it. I help teams ask who can get through, who gets left out, and what needs to change.

A green clitoris mascot with a white cane stands beside a lectern, an audience, and a screen labeled Research.

Hire me for: Policy and program reviews, research and curriculum advising, public health communication, and subject matter expert support.

See my work in action

Disability & reproductive justice

Watch Permission, Pleasure & Power with Rebecca Cokley (ASL & captions) or find recordings & transcripts at Brandeis. The conversation connects consent, sexual ableism, and reproductive autonomy.

Health information & policy

Read my Section 504 public comment. I explain how accessibility delays affect information, participation, and autonomy.

Consent & institutional practice

Read my article on consent in blindness instruction. It connects everyday teaching practices with bodily autonomy and power.

Browse the full work & links collection

Policies shape who can access services, whose needs are recognized, and how much control people have over their lives. Those effects reach into health, education, relationships, employment, and community participation.

As a public health professional, sexual health professional, and sexologist, I help organizations and advocates connect written rules with the experiences of the people affected by them. My work brings public health, disability justice, cultural humility, and bodily autonomy into policy and program review.

Sexual autonomy is a public health issue

Sexual health is shaped by more than individual knowledge. It is shaped by which students receive sexuality education, whether information is accessible, whose relationships are respected, and whether policies support meaningful choices about bodies, intimacy, and reproduction.

I bring sexual health expertise to research, curriculum, and policy review. We can examine assumptions that disabled people are asexual, incapable of consent, or less entitled to relationships and parenthood. We can consider how rules protect privacy, support decision-making, and respond to concerns without treating control as care.

My perspective combines community-based sexuality research with broader public health experience: research coordination at Kaiser Permanente, healthcare needs assessment with Legal Services for Prisoners with Children, and national HESPA III panel work on access, inclusion, and cultural humility. The goal is clear recommendations grounded in both evidence and the knowledge of people affected.

Who I work with

I work with nonprofits, schools, community organizations, public health and service teams, professional associations, researchers, and advocates. Support can help you review an existing practice, communicate the implications of a proposed change, or develop recommendations in response to concerns.

Ways we can work together

Policy review and development: Review policies, procedures, forms, and codes of conduct involving access, consent, disability, sexuality, boundaries, and respectful conduct. Develop clearer language and practical recommendations.

Program and systems review: Examine how policies work in practice, including eligibility requirements, communication, participation, decision-making, and responses to concerns.

Research and curriculum advising: Provide subject matter feedback on research projects, educational materials, curricula, and public health campaigns involving blindness, disability, ableism, consent, access, and sexuality.

Public health communication: Help explain how a policy or institutional practice may affect health, access, and participation. Support clear communication for leaders, communities, and decision-makers.

Subject matter expert support: Advise on writing, media, podcasts, conference sessions, and educational projects within my areas of expertise.

Advocacy and strategy support: Clarify the problem, identify priorities, and develop recommendations and language that support informed action.

What guides the review

We examine ableism in assumptions about competence, independence, capacity, and whose needs count. Disability justice brings attention to overlapping barriers and to the knowledge and leadership of the people most affected.

Consent culture needs practical support in policies: meaningful choices, understandable information, respect for privacy and boundaries, and clear ways to raise concerns. Cultural humility asks whose experiences have shaped the rules and what the organization may need to learn.

We can ask:

  • Who benefits, who encounters barriers, and who has been left out?
  • Can people understand their options and influence decisions?
  • What evidence and community knowledge inform this approach?
  • What would implementation require, and who is responsible?
  • How will the organization review whether the change is working?

What you can receive

Deliverables may include written recommendations, proposed policy language, revision notes, curriculum or research feedback, briefings, educational resources, facilitated planning discussions, and an implementation plan.

This work connects to building healthy public policy.

Pricing and next steps

Consulting is quoted by project. Rates depend on scope, preparation, timeline, deliverables, and whether you need a focused review or an ongoing partnership.

Tell me what policy, program, research, or educational material you want to examine. Include your intended audience and timeline if known. We can agree on scope, deliverables, access, and fees together.