Jamaican hotels rarely give much publicity to the facilities (if any) they offer persons with disabilities, so it's always wise to contact the hotel directly, in advance. Tourist offices probably won't be able to help you with such questions.
Get a free copy of Air Transportation of Handicapped Persons from the U.S. Department of Transportation. Write for Free Advisory Circular No. AC12032, Distribution Unit, U.S. Department of Transportation, Publications Division, 3341Q 75 Ave., Landover, MD 20785 (tel. 301/322-4961; fax 301/386-5394; http://isddc.dot.gov). Only written requests are accepted.
Many travel agencies offer customized tours and itineraries for travelers with disabilities. Among them are Flying Wheels Travel (tel. 507/451-5005; www.flyingwheelstravel.com); Access-Able Travel Source (tel. 303/232-2979; www.access-able.com); and Accessible Journeys (tel. 800/846-4537 or 610/521-0339; www.disabilitytravel.com). Avis Rent a Car has an "Avis Access" program that offers such services as a dedicated 24-hour toll-free number (tel. 888/879-4273) for customers with special travel needs; special car features such as swivel seats, spinner knobs, and hand controls; and accessible bus service.
Organizations that offer assistance to disabled travelers include MossRehab (www.mossresourcenet.org); the American Foundation for the Blind (AFB) (tel. 800/232-5463; www.afb.org); and SATH (Society for Accessible Travel & Hospitality) (tel. 212/447-7284; www.sath.org). AirAmbulanceCard.com is now partnered with SATH and allows you to preselect top-notch hospitals in case of an emergency.
The community website iCan (www.icanonline.net/channels/travel) has destination guides and several regular columns on accessible travel. Also check out the quarterly magazine Emerging Horizons (www.emerginghorizons.com), and Open World magazine, published by SATH.
For British Travelers -- Check out the Royal Association for Disability and Rehabilitation (RADAR), Unit 12, City Forum, 250 City Rd., London, ECIV 8AF (tel. 020/7250-3222; fax 020/7250-0212; www.radar.org.uk).