Enabling environments for dementia

A older man and woman are smiling at each other. The man is handing the woman a yellow tulip. Creating environments for dementia.Staying home has taken on a new meaning, and for some, a priority, amid the COVID-19 pandemic. But what if the design of the home environment isn’t helping, especially if you have dementia? Alzheimer’s WA has a great website with really practical information on houses and apartments. But we need to create all environments for dementia.

Of course, staying home also means staying in the community. So the neighbourhood and facilities need to be dementia-friendly too. The website also has this covered. There are sections on, Public buildings, GardensHospitals, and Care environments.

Each section takes you to a floor plan with interactive buttons. Each button takes you to an illustration of a room or space, again with buttons for more information. For example, a click on a floor plan kitchen takes you to an illustration of a kitchen. Within this illustration are buttons checking off each of the design principles, such as lighting and cooking. There are PDF lists for download as well.

This website is a comprehensive virtual information centre for living with dementia. It’s useful for family members and designers alike. Some elements might be something as simple as rearranging things so they can be seen. Others might need more design know-how. A great resource. 

There’s also a Dementia Friendly Home app and a virtual experience by Dementia Australia. 

Image courtesy Alzheimer’s WA.

Dementia-friendly neighbourhoods

Dementia-friendly neighbourhoods is a growing area of transdisciplinary research. But there are challenges and gaps that limit the depth of knowledge which need further research. An article from the University of Michigan outlines the issues for the built and social environments. 

Neighbourhoods are multi-sensory – sight, sound, smell, taste and touch. Technological advances support things like wayfinding and memory in navigating environments. 

The authors discuss the need for participatory methods to identify areas of need and to prioritise neighbourhood issue. 

The title of the article is, Dementia-friendly neighbourhoods, Methodological challenges and research opportunities. It’s an in depth look at the issues from an academic perspective. 

 

Accessible: Not what you think

A man in a wheelchair is separated from the crowd by a low concrete barrierIt takes much more than a ramp to make a place or space accessible. It might allow entry and access for people who use mobility devices, but it doesn’t make for equity or inclusion. This is a well argued point in a Time magazine article. “Accessibility should be a catalytic force for something more” says Eddie Ndopu. It’s a “slippery, deceptive word that belies its own emancipatory meaning”.

Ndopu uses the term “accessibility” as meaning inclusion, where perhaps others might use inclusive or universal design. As many others have stated before, technical compliance does not always provide access, let alone inclusion. He discusses how accessibility, in the various interpretations, is, indeed, slippery. It implies freedom but does not deliver the goods. 

A well-written and thoughtful read based on personal experience. A good reminder that for all the words, the intentions of those words are yet to be realised.

The title of the article is, It’s Time to Rethink the Language of Accessibility. And to Imagine a More Equal World.

The caption for the image in the magazine shows Eddie Ndopu, who has a degree from Oxford, works for the UN and plans to go to space. 

Access and Ancient Greece

Illustration of a Greek temple reconstruction showing a ramped entrance.Ancient Greece is well known for its many temples and healing sanctuaries. Hence, we have evidence that the ancient Greeks thought about access ramps. They made an architectural choice without legislation. However, it wouldn’t make sense to design and build a healing sanctuary that excluded the very people it was designed for.

An article by Debby Sneed discusses the history and ancient sites from the perspective of access, illness, injury and disability. She shows that disablement features in ancient Greek icons, art and sculpture. This is an indicator that disability was considered relatively normal in society. There were no attempts to hide it. 

An interesting history of ramps and ground level construction at healing sanctuaries. It includes details of various sites and discusses why some have ramps and others not. Sneed concludes that if the ancient Greeks gave thought to their disabled community, it’s important we do too.

The title of the article is, The architecture of access: ramps at ancient Greek healing sanctuaries   

Abstract: Ancient Greece is well known for its many temples and sanctuaries, including several dedicated to healing and associated cults. Informed by disability studies, this article analyses the architecture of public spaces and facilities, alongside epigraphic, iconographic and literary evidence, to argue that the ancient Greeks sought to ensure the accessibility of healing sanctuaries. Even without a framework of civil rights as we understand them today, the builders of these sites made architectural choices that enabled individuals with impaired mobility to access these spaces. It is hoped that this research may stimulate further investigations into accessibility at other sites in the Classical world and beyond.

 

Guide for Public Interest Design

Cover of publication showing various people in design situations. Public Interest Design Guide.The Public Interest Design Education Guidebook is for anyone involved in educating and training upcoming designers. This academic guide has three parts: design curricula; educating the designer; and SEED Academic Case Studies.

Drawings alone are inadequate for communicating design intent – other means are required as well. Direct communication using everyday language in a participatory process is essential. In essence, a co-design approach. 

The book challenges educational practitioners to educate students who might become alternative practitioners and design for public interest. “These practitioners enter into a potentially more fulfilling relationship with the site, its history, the community of users whose needs they address, and the members of the workforce who are their collaborators”. 

Public Interest Design Education Guidebook: Curricula, Strategies, and SEED Academic Case Studies, presents a framework necessary to teach public interest designers. There are contributions from a range of authors covering all aspects of design education. They bring diverse approaches for inclusive community-based practices from across design disciplines. 

The teaching strategies in the guide will empower educators “to excel in your pursuit of public interest design”.

SEED is the acronym for “Social Economic Environmental Design”. This is an update on the earlier 2016 edition of the Guidebook. 

Off to work we go. Or do we?

A man holding a boarding pass in his hand along with a bag. You can see the airport in the background.Travelling to work is one thing. Travelling for work is another.  A recent study of Australian university staff who travel for work revealed common difficulties. All participants reported that their disability, whether declared or not, affected their ability to undertake work-based travel. Some of their necessary compromises involved extra cost at their own expense. 

There are four things that make travelling for work difficult for people with disability. They are: the way the current system is designed, stigma and victimisation, self reliance and asking for help. And of course, double the effort that anyone else takes for an event-free journey. These factors also apply to the tourism sector. That’s because academics who frequently travel for work might extend their stay for a short vacation. They might take their family too.

The university travel booking service on campus often asked participants to seek additional information themselves. That’s because it was not seen as part of the service. One participant found it easier to bypass the system and do their own bookings even though they had to foot the bill. Potentially, the system isn’t smooth sailing for others either.

A supervisor told another participant that they couldn’t be an academic if it meant travelling overseas. Booking travel also meant revealing a previously hidden disability. This is a tricky area. Other articles have revealed the reticence to declare a disability for fear of discrimination and disbelief

The article, Negotiating work-based travel for people with disabilities, has some recommendations. They are applicable for workplaces and tourism operators alike.  You will need institutional access for a free read or contact the authors at The University of Queensland.

Abstract

In an ideal world, inclusive travel services would value each person, support full participation and seek to embrace the similarities, as well as the differences, to be found in society. Anecdotally at least, it seems the unspoken truth for many individuals with a disability is that efforts to engage in any form of travel are often thwarted by poor service provision, systemic bias and discrimination.

Using an inductive line of inquiry, this Australian study sought to detail how staff with a disability in the higher education sector negotiated their work-related travel responsibilities. Findings revealed that many felt compromised by current systems and practices with many required to go ‘above and beyond’ that expected of their work colleagues.

The results of the research project serve to inform employers about the often unvoiced challenges employees with disabilities face when meeting work-based travel expectations. The findings also contribute directly to the transformative service research agenda by offering clear insight into how the travel and hospitality industry might be more inclusive of employees travelling for work-based purposes to the benefit of all parties.

Autism friendly home environment

Picture of a large family looking jubilant outside their houseFamilies living with autism have lots of stories to tell. Some of these stories were captured by researchers. The aim was to find supportive home features to make homes more autism-friendly. 

A study by Wasan Nagib and Allison Williams uses family stories to explore the challenges they face. The authors of  “Toward an autism friendly home environment” conclude with three recommended home typologies – detached and attached houses, and apartments. They also discuss policy implications. The article was published in Housing Studies, by Taylor and Frances Online. You can access a free read of the article via ResearchGate.

Abstract:

This study explores the challenges faced by children with autism and their families in the home environment and how physical elements of the home environment can be designed or modified to alleviate these challenges and create an autism-friendly home.

The research employs qualitative methods to learn from the experiences of key informants involved in creating or modifying the home environment of people with autism; this involved interviews with architects and occupational therapists. To learn from the families themselves, an online survey of the families of children with autism across Canada and the United States was conducted.

The study provides insight into the physical, social, and psychological challenges affecting the quality of life of children with autism and their families in their home environment and the contribution of home modifications to alleviating the challenges.

The appropriateness of the three housing typologies – detached houses, attached houses, and apartments – to accommodate autism-related needs is discussed together with potential policy implications.

Who thought of kerb cuts?

A concrete kerb ramp with yellow tactile markers on the slope.Who thought of kerb cuts in the footpath? 30 years ago policy makers couldn’t understand why anyone needed kerb cuts in footpaths. “Why would anyone need kerb cuts – we never see people with disability on the streets”. This is part of the history of disability rights that we rarely think about these days. But kerb cuts (curb cuts) didn’t happen because of policy – they happened because people took matters into their own hands. And accessibility eventually shaped the streets.

Stories of activists pouring concrete on kerbs have made their way into urban legends. It is sometimes referred to as the “Curb Cut Revolution”. (Note the American spelling. In Australia we call them kerb ramps.) It was the beginning of a turning point for accessibility.

Of course, the injustice is not evident to those who are perhaps inconvenienced but not excluded. And it’s not just about wheelchair users. Anyone using a wheeled device: delivery trolley, pram, bicycle or luggage knows the value of the kerb cut. They’ve also benefited from the other accessibility features in the built environment. That’s how the term “universal design” was coined – good for wheelchair users, good for everyone. 

The Forgotten History of How Accessible Design Reshaped the Streets is a nicely written blog article. It provides an interesting context to what we know now as access standards. But compliance to legislation does not guarantee inclusion. It only provides access. That’s why we still need universal design thinking.

We still need universal design

The Universal Design Movement goes back to the 1970s and it’s still going. That’s because every improvement for inclusion is hard won. The article has a great quote:

“When injustice is tied up with the physical spaces of cities and the policies that create them, it becomes difficult to assign responsibility for it – and hence difficult to change.”

The article is from Bloomberg CityLab. 

Design and responsible behaviour

An international group of adults stand with a big board in front of them. It says, Make Things Happen. There are lots of coloured post it notes on the board.Ever started off with a project that didn’t end up where you expected? That was the experience of a group of Canadian researchers working on placemaking and community building. They found that designers often left design school without the tools to do the job. That is, they weren’t equipped with the skills to involve communities. Consequently, stakeholders were being left out of the design process and outcomes.

The research project has raised more questions than answers. This isn’t a bad thing. It means that it has started conversations about how designers are educated. Changes to curriculum design are needed. Time to bring educational research and practice together. That is one of the findings from the article about working with people, not for people from an educational perspective. The research group suggest that the design community build their own “ethics protocols that define responsible behaviour for design”.

Building “Working with, not for” into Design Studio Curriculum is a participatory action research project. It challenges assumptions and underpinning values of educators. Working with participants and collaborators they found that the community was treated as a group of outsiders. Past experiences with community consultations left them distrustful of processes. In some cases participants thought researchers exploited them for their own purposes. It’s a long paper, but tells the research story well. 

A related post looks at the issue of designers not always having the two skill sets required these days. Not only do designers need technical know-how, they need to relate well to those they are designing for. The same could be said for their tutors and lecturers.

AbstractDesign ManifesT.O. 2020 is a Participatory Action Research project currently underway in Toronto, Canada and is working with communities to uncover stories of grassroots placemaking and community building done through creative practice. An unexpected discovery during data collection highlighted how communities are still being left out of decision-making processes that directly affect their collective values and living conditions and are being disrespected by designers and researchers — exposing very large gaps in the education of designers in terms of values-based learning, design ethics, and informed methods for working with communities. This paper interrogates design pedagogy and practice in order to stimulate further discourse and investigation into how to successfully integrate ethical and responsible protocols into design curriculum to support co-design practices where social justice and equity becomes normalized in practice. In other words: giving students the tools to “work with, not for” communities. Demonstrating social conscience is ethically desirable in design education but if students are not given the tools required to work with communities through respectful and collaborative processes then we are training the next generation of designers to continue a form of hegemony in design practice that is undesirable.

 

Mind the gap in rail travel

A large crowded entrance hall of a railway station showing shops as well as lots of people.We all want the same things from rail travel. Value for money, getting a seat, and arriving on time. But some of us need a bit more than this: Step-free access, accessible information, accessible toilets, and easy ticket purchase.  

The Australasian Centre for Rail Innovation report is based on an international study of public transport systems in five countries. The aim was to identify good practise and issues yet to have solutions. The executive summary reports:

    • Many people with disability experienced abuse and discrimination from both passengers and staff.
    • Easy access to reliable information was critical for planning a journey.
    • There is a considerable difference between urban and rural areas when it comes to accessibility.

The title of the report is, Rail travel and disability: an international perspective on accessibility. 

Rail carriages and universal design

In the train carriage, a woman is seated in a manual wheelchair and is sitting next to a man in a standard seat. They are looking at an in-seat screen, probably for movies.A new design guide for accessible inter-city train carriages covers just about everything you need to know. Oregon State University comprehensively researched design options for making passenger trains universally designed. Their findings are reported in Inclusive Universal Accessible Design Guidelines for Next Gen Passenger Rail. With the age of passengers increasing, they recognise the need for improved access for everyone.

The guide has a lot of technical data to support the design options. Wheeled mobility devices and assistance animals are the focus, along with other groups. The trade-off between a larger restroom and the number of wheeled devices in a carriage doesn’t always mean a loss of seating for others. Folding seats are an option and they recognise that some wheelchair users will transfer to a regular seat. The lounge or buffet cars can be universally designed, but sleeper cars, however, were not included in this research.  

A good article for anyone involved in the design of rail infrastructure. Lots of detailed technical information including restroom fittings, public address systems and emergency procedures. Diagrams of layouts help with design explanations. While this document is based on USA requirements, it has relevance elsewhere.

Some newer Australian long distance trains have embraced inclusive design for all passengers. The image is from Queensland Rail.

Mind the Mind Gap in Transportation

an aerial view of a complex roadway intersection at night where it is lit up with many colours.Among the list of invisible disabilities are mental health conditions, as well as compulsory and phobia conditions. While basic physical access is being addressed, different mental health conditions are rarely considered. Using the underpinning principles of the UN Sustainable Development Goals and the Convention on the Rights of Persons with Disabilities, researchers from Austria looked at the issues with participants from the target groups. They found that strategies to support self-distraction as well as relaxing environments  helped. The paper concludes,

“In general, measures should concentrate on strategies to support self-distraction and self-manipulation (e.g. personal entertainment, breathing exercises), as well as on infrastructural and organizational improvements (e.g. relaxing environment, improvement of layouts and signage, trained service personnel, raising of public awareness). The target group may get confronted with additional challenges or barriers due to the social and technological developments (e.g. automated driving) in the near future. 

The full title of the paper is, Access to Transport Services and Participation in Traffic for People with Mental Health Diseases – Challenges to meet the UN Sustainable Development Goals (SDGs) to provide an overall inclusive Transportation System.

Train station platform edge with the words in yellow, "Mind the gap".

Is your inclusive my exclusive?

View of a kerb cut with yellow tactile markers on the kerb ramp.Tactile markers and kerb cuts are commonplace on our footpaths and in other outdoor places. But what suits a person with a mobility restriction can pose problems for someone with low vision and vice versa. This issue of access features as a minimum standard is nicely presented in, Is your inclusive my exclusive

The article is one of several conference papers in Open Space : People Space 3. It begins with a really good way of explaining the terminology each of which has inclusion as the underlying goal. Accessible design is about accommodating specific individuals and is usually applied at the end of the design process or a retrofit. But accessible design does not suit all. 

Universal design is explained as a strategy to make designs usable for any many people as possible. This is less stigmatising for all users. If an outdoor space is designed inclusively, the need for tactile markers is reduced. Architectural features provide guidance instead.

The article includes a case study of tactile paving. Observations of pedestrians and lab tests on different designs are discussed briefly. The way that tactile pavers and kerb cuts are maintained is an ongoing issue for users and should not be ignored. The article ends with a reminder that good design, inclusive design, benefits everyone. Through a process of continuous improvement we can do better than minimum standards. 

There are several good papers in this conference which was focused on research into inclusive outdoor environments.

See also a previous post, Tactile ground markers vs wheelchairs: a solution?