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James Meadours has held various leadership positions within the field. He was president of People First of Oklahoma, and later served as a VISTA volunteer to strengthen the movement in Oklahoma. He was chair of the national organization Self Advocates Becoming Empowered (SABE) from 1999-2002. He was also one of the first self-advocates hired by a state Protection and Advocacy Association (Advocacy, Inc. in Texas), where he works as a self-advocacy specialist.

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