Hospitals can be distressing places at the best of times. If you have dementia or other cognitive condition it can be a frightening and disorienting place whether a patient or a visitor. Stressed patients stay longer and need more medication.Taking a universal design approach can provide a better experience. Academic research and consumer input underpins this comprehensive guide to designing dementia-friendly hospitals from a universal design approach. In Ireland, where the guide was developed, they estimate almost one third of patients have dementia and as the population ages this will increase. Of course, dementia friendly design using a UD approach is good and inclusive for everyone. The guidelines are available to read online using Issuu software.
Below is a short video that provides an overview of the design factors that need to be considered in creating a dementia friendly hospital.
There is also a media release that provides an overview of the development of the guidelines and the project partners.
The word “sustainability” mostly conjures up notions of clean and green, but social sustainability – an aspect just as important – has been left out of mainstream discussions. This point is made in Universal Design as a Significant Component for Sustainable Life and Social Development. The authors argue that both home and neighbourhood need to be considered for a socially sustainable environment. An evolving criteria for social sustainability is access to facilities and amenities that are vital for people to run errands and do all the everyday things. Going to the shops, a medical appointment, or the cinema should be available to all no matter their age or circumstances. There are useful explanatory graphs in this in-depth paper that emphasises well-being, safety and accessibility. The authors sum up in the conclusion, “The social aspect of sustainability should be emphasized in the mainstream discussion on sustainability because it influences human behaviour and quality of life in many ways”. They also point out that it is environmentally unsustainable to build homes that need major modifications, “which causes pollution, hazardous construction equipment and material and inappropriate methods of wastage removal”. The article can also be found in Asian Journal of Environment-Behaviour Studies.
Abstract: Universally designed environment provides comfort, adaptability and flexibility that can help to reduce human life cycle impact and encourage residents’ participation in the community. With that, the purpose of this conceptual study is to explore the concept of Universal Design (UD) as a significant aspect of social sustainability, based on professional practitioners’ and scholarly views. UD implementation in built environment may cater the needs of diverse users over the changing abilities throughout lifespan. This study concludes that UD has evolved as a significant component for sustainable life and social development within the individual’s own dwelling and the community as well.
If you want to know what people think about accessible housing, the findings from a recent survey will give you a good idea. With the prospect of a Regulatory Impact Assessment of accessible housing on the horizon this is a timely report. There are four narratives that frame the report: the housing industry view; the government view; prospective buyers’ view; and the perspective of people who need mainstream accessible housing. The survey was initiated by Australian Network on Universal Housing Design and the data were collated, analysed and discussed by Courtney Wright and Jacinta Colley from Griffith University. It is a lengthy but detailed report. Essential reading for anyone interested in this topic and/or who wants to know the history behind the universal design in housing campaign that goes back nearly 20 years. Dr Courtney Wright will be presenting the findings at the 3rd Australian Universal Design Conference in Brisbane 4-5 September.
Comprehensive Universal Design is a concept from India. It refers to the classic principles of universal design, concepts of sustainability, and culture, that is, a “country-centric approach which considers poverty, caste, class, religion, background both rural and urban”. A Conceptual Framework for Barrier Free Hotels in Smart Cities covers most of the basics written in many other papers about universal design, links it to the hotel and tourism industry and all the economic benefits that can bring. Weaving in cultural aspects such as poverty and religion takes universal design thinking another inclusive step forward. The article proposes a conceptual framework to explain.
Abstract: Cities are key for business, Job creation, and the growth of society. The Government of India planned to develop smart cities which are sustainable, inclusive and act as a reference for other aspiring cities. Smart cities in India will work on four principles such as wellbeing of habitants, equity, foresight and efficiency. Existing laws and design principles can act as a hurdle in achieving the four principles laid down. The principles of Universal Design (UD) are user centric, work on the social goals of inclusion, equality and independence. Universal Design India Principle (UDIP) is a set of design principles that focus on a country centric approach which considers culture, caste, poverty, class, and religion. There is an overwhelming need for environmentally sustainable designs for hospitality services. Considering the current requirements, a conceptual framework ‘Comprehensive Universal Design (CUD)’ has been proposed which includes principles of UD, UDIP and environmental sustainability. Adopting comprehensive universal design principles in the hotels in smart city will help the planners to realise equity, quality of life, social inclusion and environmental sustainability.
The article is by Partho Pratim Seal *, P. Senthil Kumaran
The latest newsletter from Lifemark in New Zealand points out how many people fall and injure themselves at home. They also cut and burn themselves badly enough to need hospital treatment. How could such injuries be avoided? The newsletter article on Better Design, Safer Homes, has tips for stairs, bathrooms, kitchens, and entrances. There are more universal design tips in the Homescore self assessment tool. The article concludes, “A safer home benefits all occupants (and visitors), not just older people. Children, in particular will benefit from a design that recognises and addresses risk areas and by doing so creates a more liveable space for everyone”. There is more in their June newsletter.
Rob Imrie and Rachael Luck discuss universal design from the perspective of how it relates to the lives and bodies of people with disability. Their philosophic offering is the introduction to a set of eight papers in a special issue of Disability and Rehabilitation. Some important questions are raised about the role of universalism and the embodiment of disability. For example, proponents of universal design say that users are crucial to the design process, but what does that mean for the skills of designers – will they be lost or discounted? Yet these are the people who have the power to use their skills “in ways where some social groups will benefit and others do not”. The focus of universal design is often on techniques and operational outcomes, but is this enough – are there other aspects to think about? Imrie and Luck provide a paragraph on each paper and conclude:
“The papers, as a collective, are supportive of universal design, and see it as a progressive movement that is yet to realise its potential. The contributors provide insight into the tasks ahead, including need for much more theoretical development of what universal design is or ought to be in relation to the pursuit of design for all and not the few. This includes development and deployment of concepts that enable non-reductive conceptions of design and disability to emerge, aligned to political and policy strategies that enable universal design to become a socio-political movement in its broadest sense.”
The title of the editorial of the special edition of Disability and Rehabilitation is, “Designing inclusive environments: rehabilitating the body and the relevance of universal design”. Thought provoking reading for anyone interested in UD as a social movement as well as design thinking. There is more on their universalising design blog site.
Ron Mace is often reported as being the “father of universal design”. While this is not strictly true, he was a passionate leader in universal design thinking. The 20th anniversary of his death gives us pause for thought about his vision that started well before the 1970s. Richard Duncan has posted a short biography of Ron Mace to pay tribute to his vision and work that lives on across the globe. Mace contracted polio as a child and used this experience in his architecture practice where he understood how much the fine detail mattered. He was instrumental in setting up the Center for Universal Design at North Carolina State University. This anniversary also gives pause for another thought: Why hasn’t universal design been universally accepted after more than 50 years of talking about it?
Editor’s note: I was very fortunate to visit Ron Mace’s widow, Joy Weeber, during my Churchill Fellowship study trip in 2004. Joy invited me to her home and was very generous with her time. She showed me a video of his last interview two days before he unexpectedly died in June 1998. Jane Bringolf
Norway’s planning policies have been underpinned by the principles of universal design since 2000. With a focus on policy, not design detail, this means everyone has to think about inclusion and accessibility in everything they do. Olav Rand Bringa, author of the early reports and papers on universal design in Norway, writes a review of progress with Einar Lund. In the introduction, they discuss the work and writings of British architect Selwyn Goldsmith that go back as far as 1963. In his last book in 2000, Goldsmith articulates his disappointment that little progress for access and inclusion has been made. The review asks the questions, What did we learn? and What did we Gain? In short, new buildings, outdoor environments, websites and more are all designed according to universal design. However, there is much to do with the existing environment. The paper concludes with, “And Universal Design, will it remain a particular design-concept in the future or will it simply be what everyone associates with good design? We should have good reasons to expect the latter.” Also of interest is the Nordic Charter for Universal Design initiated in 2011, and the main policy document, Norway Universally Designed 2025 that was updated in 2016.
Abstract: The national policy in Norway have since the last part of the 1990s been organized in programs that erected actions including national authorities, municipalities, regional authorities and private enterprises. What have we gained by our national activities to mainstream inclusive and accessibility policy for persons with reduced capability through the principles of Universal Design? Have we made society accessible to everyone and prevented discrimination. Are the results visible? We can measure results on several sectors, inter alia public buildings, outdoor areas, central communication hubs, public transport and the occurrence plans for Universal Design in municipalities and regions. Through several programs and action plans the Norwegian government has developed a sectoral approach for including persons with disabilities in the society. The majority of ministries have participated in these plans. Local initiatives, local councils for disabled people, and later on municipalities and county administrations were supported by national authorities as complements to regulations and laws. In addition, guidelines and assisting funds were used. The main objective was to redefine the national policy, using better defined national goals and introducing Universal Design to replace accessibility as the basic tool. The mainstreaming of the accessibility policy, where Universal Design was included in relevant sectors and activities, was a crucial part of the strategy. The national policy was organized in programs that erected actions focusing on how to reach, inspire and include municipalities and regional authorities in their own struggle for Universal Design. Through the mainstream approach ministries have both earmarked economic transfers to their own agencies and used steering documents guide to these agencies how to implement Universal Design in their advisory services, in practicing laws and regulations and in their own planning and building activities.
The full title of the paper is, From Visions to Practical Policy: The Universal Design Journey in Norway. What Did We Learn? What Did We Gain? What
Want to know who is speaking at the 3rd Australian Universal Design Conference? With the theme Home and Away: Creating inclusion everywhere the main themes are: house and home, getting out and about, tourism and travel. Architect Allen Kong will provide some great international case studies for both housing and tourism, and Margaret Ward, Penny Galbraith and Courtney Wright will get everyone up to date on the current thinking on accessible housing. We have great keynotes as well: Chris Veitch will make the trip from the UK to tell us what is going on in the tourism space in UK and Europe, Nicki Hutley from Deloittes will give us a run-down on person-centred economics, and Amy Child from Arup will take our thinking into the future of transportation. Plus we have Kieran O’Donnell from the Australian Building Codes Board, Bill Forrester from Travability, and Nadia Feeney from the Australian Tourism Data Warehouse. Liz Ainsworth and Micheal Bleasdale are organising a Home Modifications panel session. And there is much, much more in the program. You can find out more detail, speaker bios and abstracts on the conference website. And of course you can register – earlybird still open.
The Center for Health Design based in California has produced an excellent checklist that focuses on design features specific to older people. Of course, such features will generally benefit others. The checklist is meant to support a universal design approach to environments for ageing populations. It is not meant to be used as a list of comprehensive specifications, but a “thought starter”. It is probably best used to guide the discussion of design teams at the outset of a project. The checklist covers Home and Community including residential, Healthcare and design of clinics and emergency rooms, and Workplace designs and strategies.
The checklist matrix lists the strategy or goal, design considerations for the built environment, and the universal implications (benefits for everyone). For example, the goal of ageing in place in one’s home requires (among others) features that are easy to clean and maintain, and the universal implication is that it increases the suitability of housing for a wider range of users and potential buyers. The checklist has a comprehensive reference list to support the content and for further reading.