Disasters and emergencies: Leave no-one behind

Road Closed signs and a barrier of a road that reaches down to swollen river.‘Leave no-one behind’ is the tag line for the Sustainable Development Goals. In disaster management this idea takes on a very practical meaning. People with disability are two to four times more likely to die or be injured in a disaster than the general population. So why is our planning and risk reduction failing people with disability?

Being able to attend community meetings to find out what to do in an emergency is one factor. Having more than one person in the household with disability is another. Community education and plans assume everyone can get out of the house with a few belongings, get in the car and drive to safety. But some of the problem is that people with disability don’t make a plan or don’t tell anyone their plan. 

There is no nationally consistent standard for including people with disability in disaster risk reduction. An article in The Conversation explains some of the research into this. It includes the comments made by people with disability when asked about disaster planning. One such comment is very telling,

“But I spoke to three different people who had three different disabilities, and you realise that the communication has to be targeted. Because those three people required completely different things. And the information they got was not in a mode which they could use.”

Four men with orange lifejackets are standing in a yellow State Emergency Service boat on a swollen river.The title of the article in The Conversation is, ‘Nobody checked on us’: what people with disability told us about their experiences of disasters and emergencies

The academic version was published in the International Journal of Disaster Risk Reduction. The title of the paper is, Applying a person-centred capability framework to inform targeted action on Disability Inclusive Disaster Risk Reduction, and is available from ScienceDirect.  

Key points from the study are:

• Disability Inclusive Disaster Risk Reduction requires collaboration with people with disability to remove barriers that increase risk in emergencies.

• The Person-Centred Emergency Preparedness framework directs attention to the choices that people with disability have in emergency situations and factors that enable or limit them.

• Findings can be used to support implementation of Australia’s National Strategy for Disaster Resilience by defining person-centred responsibilities of people with disability and service providers in emergencies.

“Findings from this study enabled deep insight into the diversity and interrelatedness of factors that increase the vulnerability of people with disability and their support networks to disaster; offering new perspectives on why Australian’s with disability are disproportionately affected by disaster. The Capability Approach is used to consider what is required for stakeholders to work together across sectors to increase the safety and resilience of people with disability to disaster.”

Why home buyers don’t get UD

A banner advertising home and land packages. It says, "for people who want more".“We will build it if they ask for it” say the builders. But do they want home buyers to ask for it? And would they build it? The new home selling process relies on capturing the client’s personal and emotional commitment to the home before they sign the contract. And how do they do that? By getting them to choose the colours and styles of fixtures and fittings first. Once that happens the client becomes emotionally committed. The sale is made. Too late to consider universal design features – even if customers knew what they were.

This insight comes from an article in Sourceable by Darren Love. The opening paragraph says it all. 

“Builders seek innovative ways to market their products to clients. One method is to commit the client to a process that invests time and most importantly “emotional commitment” in the process. Focus the client on an ideal that the builder can make a reality.  The client’s “dream” of owning a house becomes real with the “help” of the builder.”

The title of the article is, Responsibility before Profit. It critiques the selling methods that builders use in this highly competitive market where cost cutting is part of the process. The article clearly explains why we cannot rely on the mass market housing industry to offer anything more than a choice of colour and upgrades to fixtures and fittings. 

Furniture for later life

An older woman sits at a table in a room with a tv behind her.There is much written about older people and their attachment to their home, but what about furniture? I’m sure most of us are familiar with grandfather’s “favourite chair”. So, what makes it a favourite? Comfort, ease of use, or does it go further than that to self image? A study on furniture in later life has some interesting findings for furniture in all types of housing.

First, some interesting questions. What kind of relationship do older people have with their furniture? How does moving to a new home affect their relationship with their furniture? What can that relationship tell us about the affect of furniture design on older people? The study found that older people had emotional bonds with their existing furniture. It is part of their identity. This leads to the conclusion that it is important for people to take their furniture with them when they move. It gives a better sense of home even if it is a new environment. 

Issues arise in places such as nursing homes where staff have their preferences for furniture design. Also, family members can make choices that aren’t the preferences of the older person. As with many studies, the conclusion includes the need to involve older people in the design process, particularly in residential care settings. Furniture can support and enrich older people and should be part of understanding the living conditions and their emotional bonds, culture and history. 

Furniture for Later Life: Design Based on Older People’s Experiences of Furniture in Three Housing Forms is by Oskar Jonsson. It is a doctoral thesis so there is a lot of information. Unfortunately, Oskar tells me he did not publish any shorter papers from his thesis. However, the Table of Contents provides links to the key information. 

Extract from the abstract:

The background is the lack of furniture that responds to the demands of older consumers and the lack of knowledge about relationships between people and furniture in their home environments and in various forms of elderly care environments. Generalizations made regarding old people’s needs have proved to be too limited in scope to meet their needs and wishes. The purpose is to improve knowledge and awareness concerning the ways in which old people act on, are influenced by, reflect on and appreciate furniture in their homes.

The results show that there is great variety in what old people express regarding furniture and reveal a diversity of interests, needs and wishes. In the light of  these results, it is unreasonable to reduce old people to a homogeneous group or attempt to specify their needs in advance. Despite this, the results reveal needs and wishes for furniture that provide comfort, pleasure and independence and that contribute to desired experiences of dignity, meaningfulness and freedom.

Older Australians: no plans to move

We expect to grow old, but because we don’t aspire to grow old, we rarely plan for it. “I’ll worry about it when the time comes” is a usual response. A new report from AHURI looks at the housing situation for older Australians and some previous research is confirmed.

Most respondents felt their current home would suit them as they grow older. Eliminating steps is obvious, but what about other features? Generally, older people would like to own a detached dwelling (69%) with three bedrooms (50%). Those in the 75+ group think that a two bedroom apartment is a good idea, probably because they can eliminate steps. Most importantly, they don’t want to be in the private rental market.

Older Australians are not planning ahead. If they are, they lack information on how to go about it, what to look for, and what their options are other than age-segregated housing. A significant proportion of respondents hadn’t thought about planning ahead for their living arrangements. 

Plenty of material in this report for anyone interested in housing and older people. Title of the report is, Older Australians and the housing aspirations gap. You can download the Executive Summary and the Full Report separately. 

Editors’s comment:  Although home owners said their homes would support them in later life, this might not be an objective view. With a desire to stay put, can we rely on their self-assessment when they have so much emotional and financial investment in their current home?To be sure that homes will suit people throughout their life, every home needs to be designed for the life course. We need all new homes to be fit for that purpose

 

Equal access to sex workers

A woman wearing a mustard coloured jumper is hold the the hands of someone who is hugging her from behind. There is no head, just the torso.Almost everyone likes a hug, and sometimes something a little more intimate. The Conversation has an article arguing that the NDIS should pay for sex workers. But being a resident in an aged care home should not be a barrier to having this kind of intimacy either.  That’s whether it’s from a sex worker or a partner. An article in Aged Care Insite, Sex work in aged care more than just physical, discusses the issues of intimacy and  “skin hunger”. For some clients of sex workers it is about being close and touching another human being rather than sexual intimacy. It’s about feeling the warmth of another body, feeling their heartbeat and breathing. When it comes down to it, older people have the right to access sex and intimacy services just like anyone else. However, those who live in their own homes might be in a better position than those in an aged care facility. Time for policies on this aspect of aged care to be universally designed?

 

Older people like self driving vehicles

Graphic from the paper showing the elements people would think about when planning a journey with an autonomous vehicle.A series of workshops with older people in UK revealed they are likely to welcome autonomous vehicles. The workshops also gave participants time to think about some of the implications, both negative and positive.  Accessibility was a key factor. Declining vision and hearing, as well as dexterity issues such as arthritis, were mentioned in relation to touch screens. Being able to stop for a toilet, room for a pet and for shopping or luggage, and where to leave the vehicle at the end of the trip were factors that designers need to consider. There’s good information about older people and their reasons for travel, and how autonomous vehicles might enhance their ability to get out and about and socialise.

The title of the paper is, Finding from Workshops held with Older People considering participating in Connected Autonomous Vehicle trials. It also contains information about the five levels of autonomy of vehicles. The workshops are part of a larger project, Flourish, a multi-sector collaboration.

See also Lifelong Mobility with Automation. 

Editor’s note: Too many people are thinking about drivers and self-driving vehicles when in fact, fully automated vehicles are self-passenger-ing. That is, no-one is driving, so everyone is a passenger. 

The graphic from the article shows factors older people thought about when making a journey: toilets, luggage space, route choice, refuelling, journey time, leaving vehicle at destination, and road conditions.

A city designed only for young and old?

a Disney type street facade with imaginative designs that look appealing to childrenA city only for children and older people and all other age groups are welcome on visitor passes? What would such a city look like?  A good question because having a visitor pass to your own city is what it feels like to groups who have not been considered in the design. The article, Diversity and belonging in the city comes from the Urban Design and Mental Health Journal. Erin Sharp Newton.poses various human perspectives on the city, urban form, architecture and design. A somewhat philosophical piece, but a step away from the usual thinking.

Digital Divide: Age and Equity

Two hands of an older person are poised above the keyboard of a laptop computer.Older people are getting left behind in this digital world, especially if they are women and don’t live in a major city. The Conversation reports on the Australian Digital Inclusion Index (ADII) which measures which social groups benefit the most from digital connection, and which ones are being left behind. The score is based on access, affordability and ability to manage digital devices. While regional areas don’t have the same access to internet services as cities, there are programs that can help older people get internet-savvy. Telstra has its Tech Savvy Seniors program and the federal government has a Be Connected Program, and there is the Australian Seniors Computer Clubs Association. There are others listed in the article including an internet cafe set up by Umbrella Multicultural Community Care. The title of the article in The Conversation is, The digital divide: small, social programs can help get seniors online.  

The ADII also measures how things change over time for people depending on their circumstances. After all, Australia’s digital divide is not going away. 

Are stairs an answer to physical activity?

Looking up a long flight of stone steps in a park. No handrails.Walkability is discussed as the solution to keeping people active and engaged in their community. I have heard it said by health enthusiasts that we “have to have steps and stairs because that is good exercise”. Well it might be for some, but not for others.

A research study on stairs and older people concludes that the presence of stairs “may deter older persons (and others) from walking outdoors.” The study was a systematic review of the literature. The full article is available online from BMC Public Health. Or you can download the PDF. The title is “Examining the relationships between walkability and physical activity among older persons: what about stairs?” by Nancy Edwards and Joshun Dulai. 

Which way is up?

A sign post with one sign saying this way and the other saying that way.Signalling the right way to go has to account for cognitive abilities, visual acuity, and spatial awareness. As people age some of these abilities decline. Consequently, considering the needs of this group in wayfinding design will make wayfinding easier for everyone.  Mishler and Neider have identified five key points and explain them in detail in their article. They are: 

  1. Distinctiveness: the information should have cues that are informative to the route and can be distinguished from the surroundings.
  2. Consistency and standardisation: information overload can be avoided with the consistent placement, size, colour and shape of signage.
  3. Simplicity: limiting each sign to three or four units of information, because people tend to glance rather than read, and avoid visual clutter.
  4. Isolation: keep the signs away from other visual clutter to help focus attention in the right place.
  5. Reassurance: letting people know they are still on the correct route especially if the destination is a long way from the directional sign.

The title of the article is, “Improving Wayfinding for Older Users with Selective Attention Deficits”, in Ergonomics in Design.  Here is part of their conclusion:

“Because maps and other layout information may not be easy for older adults to use, providing environmental support through wayfinding signage might be the best way to mitigate these difficulties. However, visual selective attention, which is needed to find and read a sign, declines in old age, which makes it particularly important to adhere strictly to certain guidelines for signage design.

Adhering closely to the principles of distinctiveness, consistency and standardization, simplicity, isolation, and reassurance should help not only to improve wayfinding performance for all users but also to reduce the performance gap between older and younger users.

Providing age-inclusive signage could help to maintain high mobility in older adults, prevent them from becoming isolated from their communities, and therefore help to avoid the mental and physical health issues that tend to be comorbid with age-related isolation. Age-inclusive signage design is therefore an increasingly important topic in an aging population.”