Bess Williamson takes a look at two books and reviews them in tandem, which makes for an interesting read in its own right. Both are about the history of disability, accessibility and universal design, but approach the topic from different perspectives. Aimi Hamraie takes a legal and rights view of history, while Elizabeth Guffey tracks the work of individual designers and the development of symbols and images, particularly the access symbol we know today. They show how accessible design was developed in more than one place at the same time, which shows at least two family trees of access and universal design. One from the bottom up (“crip technoscience”) and one from the top down (standards and codes). An excellent and thoughtful review by someone who understands this field of research. The books are:
Michael Small’s Churchill Fellowship report tracks and compares discrimination laws and industry practice in relation to public buildings. He questions whether the control of the Access to Premises Standard is falling more into the hands of industry as Human Rights Commission resources are becoming increasingly constrained.
Three of his recommendations are: that more training is needed for industry to help them understand the standards; more flexibility is needed for building upgrades; and better systems are needed for compliance enforcement and auditing. The title of his report is, Ensuring the best possible access for people with disability to existing buildings that are being upgraded or extended. The countries visited and compared are Canada, United States of America, Ireland and United Kingdom.
Ever wondered what the long term effects of a home modification are? A longitudinal study shows that household improvements in social housing can reduce risk of hospital stays.
The study picked up major improvements in chest and heart health as well as a reduction in falls and burns.
Over ten years, researchers found that modified and upgraded homes correlated with reduced hospital events. That means savings in the health budget or beds freed up for other patients. Obviously it is better for occupants too.
The title of the study is, “Emergency hospital admissions associated with a non-randomised housing intervention meeting national housing quality standards: a longitudinal data linkage study”. Sarah Rodgers et al. Journal of Epidemiology and Community Health.
Universal Design drives Housing Quality
Fundamental changes in the building code and regulations have occurred in Norway. However, it seems that none of this has guaranteed improvements in quality on the usability of homes. Perhaps there are some lessons for Australia in implementing the Livable Housing Design Standard.
Architects, more than any other group in the construction industry are trained to break conventional frameworks. The way regulations are applied is the key to success. This is where the education of architects and building designers comes in.
Changes to the Norwegian building code in 2010 gave a clear framework for the implementation of accessibility and universal design. However, neither increased awareness of accessibility requirements and universal design, nor compliance with the building code guarantees improvement of housing quality and usability.
The Norwegian regulations have gone further in the direction of performance requirements than most other countries. This applies to all types of requirements, including requirements for usability, functionality and accessibility. Hardly any specifications are to be found in the regulations.
Ideally, this lack of specifications should give designers the opportunity to develop innovative answers and to respond to different contexts. Still, many architects and builders ask for clear specifications, to speed up design processes. Many architects understand guidelines as minimum requirements. Consequently, they are reproducing the identical solutions without considering users.
They see accessibility as another regulatory pressure and requirements as restrictions rather than positive incentives. However, there are examples of designers who have internalised the regulatory framework. These designers are able to create and integrate inclusive design in their daily work.
This paper presents examples of practice where dwellings have been developed within a framework of universal design. Focus is on the approach of the design team and their understanding and use of the regulatory framework to create better homes.
Relationship between housing and health
A systematic review of the literature found there is a strong association between housing and health. However, it is not clear that there is a causal link. Findings showed that provision of adequate heating, improvements to ventilation and water supply were associated with improved respiratory outcomes, quality of life and mental health. The title of the article is, The relationship between buildings and health: a systematic review.
From the abstract
The built environment exerts one of the strongest directly measurable effects on physical and mental health. This study provides a systematic review of quantitative studies assessing the impact of buildings on health. In total, 39 studies were included in this review.
Findings showed consistently that housing refurbishment and modifications improved health. Adequate heating, improved ventilation and water supply were associated with improved respiratory outcomes, quality of life and mental health. Prioritization of housing for vulnerable groups led to improved wellbeing.
This review found a strong association between certain housing features and wellbeing such as adequate heating and ventilation.
How do you know if your action plan for accessibility and universal design is actually being implemented? The Norwegian Government’s plan to be universally designed by 2025 now has a tool to monitor progress. A standardised method to collect and measure data nationally has been trialled.
The first results show that Norway still “faces many challenges to meet the government’s goals for Universal Design”. Data were collected on buildings and major facilities such as transport hubs, walkways, cycleways and car parks. The techniques are discussed in the article, “Mapping Norway – a Method to Register and Survey the Status of Accessibility“. The authors conclude that while their system is not perfect due to the need to fully standardise and simplify complex data, they believe it will be valuable to municipal and recreational planners and developers. The article and others can be found in the Proceedings of the International Cartographic Association.
The Norwegian mapping authority has developed a standard method for mapping accessibility walking in urban and recreational areas. . All data are stored in a geospatial database, so they can be analysed using GIS software. By the end of 2020, more than 230 out of 356 municipalities are mapped using that method.
The aim of this project is to establish a national standard for mapping of accessibility and to provide a geodatabase that shows the status of accessibility throughout Norway. The data provide a useful tool for national statistics, local planning authorities and private users. The results show that accessibility is still low and Norway still faces many challenges to meet the government’s goals for Universal Design.
Emily Steel has written a thoughtful piece about how the thrust of Australia’s National Disability Strategy is languishing while everyone focuses on one small part of it – the National Disability Insurance Scheme (NDIS). She argues that the NDIS runs the risk of further marginalising people because it is still treating people with disability as needing special (that is, separate non-mainstream) treatment. This is where the concepts of universal design come to the fore. Yes, some people will need specialised equipment as part of experiencing inclusion, but that equipment doesn’t make for inclusion unless the person can use the equipment to merge into the mainstream. For example, a person with paraplegia needs both a wheelchair and a step-free entry to buildings. One is no good without the other. The good thing is that a step-free entry is good for everyone – inclusive universal design. Only a small percentage of people with disability will qualify for the NDIS and this is also why we need universal design – for everyone, including people with and without NDIS packages. See Emily’s article for some good points on this issue. Emily will be speaking at the 3rd Australian Universal Design Conference. She is Senior Lecturer, School of Health & Wellbeing at University of Southern Queensland.
Hobsons Bay City Council is situated south-west of Melbourne with a significant stretch of coastal area. As with many local councils in Victoria they are keen to embrace the principles of universal design in their planning policies. As part of their access and inclusion strategy they plan to implement universal design principles in new buildings, buildings with significant upgrades, retrofits of existing buildings, features and public open space. They started with a Hobsons Bay Universal Design Policy Statement.
The policy statement includes a table where the 7 classic principles of universal design are translated into specific guidelines for council staff. The policy statement discusses the myths, regulatory framework and how to implement universal design, and how to go beyond compliance.
A short document and a good template for other councils to use. Policy statements don’t need to be long and wordy. This one gets to the point.
The notion of “third places” is about places in the public domain that encourage informal and casual social interaction. The “first place” is home, and the “second place” is where significant time is spent in a formal sense such as the workplace. Community gardens and town squares are an example of a “third” place.
The Dutch idea of the Woonerf has been picked up again, this time by Jenny Donovan of La Trobe University. Using some graphics, she shows how design can affect our decisions to either walk, drive, use public transport or not, and whether you feel welcome in the environment. She covers the key elements of a Compassionate City where various design elements can meet the needs of a range of people and create more harmonious behaviours. There are several links in the article to other related reports and articles. The article originates from The Conversation.
Urban design and social responsiveness
It’s one thing to be accessible, but what other features make a place socially responsive? According to aresearch paper from Singapore, top of the list is footpaths followed by seating for resting. Concerns over the mix of cyclists and pedestrians and good lighting also feature. The article outlines a method for assessing accessibility and useability of environments. Apart from the method, the results support many other papers on this topic.
Creating a more responsive urban environment enables social integration of people into active public life. This is especially the case for people limited physical abilities.
The author presents a research-based methodology for analysing and evaluating accessibility in public areas of a big city. The originality of the method lays in empowering the disabled persons to play the active role of experts in measuring and evaluating accessibility according the developed assessment tool.
The methodology enables evaluation of accessibility on different urban scales: urban landscapes, in buildings, and in their interiors. The case study performed in Singapore explores the quality of access that people have to public spaces, metro stations, hotels and café.
The paper presents recommendations for improving accessibility in the city by improving the architectural design of buildings. Updating building regulations is also required as well as the maintenances of open spaces and buildings.
The results of this research provide the comprehensive action plan for eliminating barriers in the specific Singapore’s environment and in the other cities. Conclusions present a coherent accessibility monitoring tool and improvement programme to create a socially responsive urban environment.
The National Disability Authority, which funds the Centre for Excellence in Universal Design in Ireland, has produced an online Accessibility Toolkit that is targeted towards services, both public and business. The landing page has a list of topics that you can look at individually with the dropdown menu. Or you can download a Word versionto get the whole thing.
This accessibility toolkit will help make your services, buildings, information, and websites more accessible to customers with disabilities. Each of the sections below on the website has a dropdown window with all the relevant information.
From the Editor: One of our members raised an interesting point with me this week about Changing Places toilets and whether they meet the principles of universal design. This is one of those situations where it isn’t easy to distinguish where universal design ends and specialised design begins. The European perspective is that inclusion is a continuum – a chain of inclusive thinking. At one end of the continuum are universally designed products, services and environments that almost anyone can use. At the other end are specialised assistive technologies and devices such as prosthetic limbs and speech synthesisers. Somewhere in the middle the two intersect. Some people need both specialised and universally designed products and environments.
Universal design needs specialised design for full inclusion
A simple example is ramps and level entries go together with mobility devices – a wheelchair user depends on both for achieving entry to a building. So where does that leave us with Changing Places (CP) toilets? The Changing Places website says their toilets are designed to “meet the needs of people with severe and profound disabilities”. It also says, “It is required that accredited Changing Places facilities be built in addition to and separate from required Unisex Accessible Toilets (see picture of signage). This is to ensure that the needs of both groups of toilet users are met without compromise”. This clearly puts Changing Places (CP) toilets at the assistive technology end of the continuum as as a specialised design for particular users. The toilet is therefore not universally designed because not everyone can use it due to the way it is designed. But CP toilets support universal design because in conjunction with other toilet types in the vicinity they provide equitable access for everyone to the surrounding environment. Consequently, everyone gets the benefits – everyone is included.However, where funds are limited, it would be easy to assume the CP toilet would work for all wheelchair users. Problems would arise with the drop-down grab bars, particularly for people with MS, Parkinson’s and others with balance problems. The accreditation for thesefacilitiesshould be through the Changing Places organisation without reference to the public accessible toilet standard (AS1428.1). The term “Lift and Change” toilets is being used in New South Wales to avoid the copyright issues. However, it leaves it open to misinterpretation of what the toilet is supposed to achieve and who it is for.
Australian Standard
Australian Standard for accessible public toilets (AS1428.1) does not cover Changing Places facilities as such. However, it has provision for “adult lift and change toilets”.The Centre for Excellence in Universal Design produced guidelines in 2024 to merge universal design thinking with specialised design.
Universal Design Guidelines: Changing Places
This set of guidelines comes from Ireland and aims to take the design beyond minimum standards. It covers every aspect you can think of from planning and building control to management and maintenance. The guidelines explain why some things need to be designed or placed in a certain way.The design and installation section is comprehensive. The management and maintenance section includes pre-visit information, staff training, and health and safety. The guidelines are downloadable in different formats. Another excellent resource from the Centre for Excellence in Universal Design.Changing Places (and similar) toilets give families a new freedom to participate in activities, both outdoor and indoor. These toilets facilitate greater participation and inclusion for individuals and families – a principle that universal design fully supports.Jane Bringolf, Editor
At a roundtable meeting following the 2014 Universal Design Conference in Sydney, Kay Saville-Smith shared her experience on universal design and affordability. She was happy to share her five key points about universal design in housing:
“The usual argument is that universal design is consistently unaffordable (by which they mean more costly) than poor design because of the difficulties of retrofitting the existing environment and lack of economies of scale. Actually, the reasons why universal design is seen as costly can add cost. Five points are interesting:
Most products are not designed but driven off existing tools, processes and organisational structures. To change these does require some investment (hump costs) but these are one off and should not be seen as an ongoing cost. Indeed, those changes can bring reduced costs in the long term through increased productivity etc.
The costs of poor design are externalised onto households, other sectors or hidden unmet need.
Comes out of an advocacy approach that pitches the needs of one group against another and treats universal design as special design etc.
Win-win solutions need to be built with the industry participants that are hungry for share not dominant players who have incentives to retain the status quo.
Universal design is different from design which is fashion based. The trick is to make universal design fashionable so no one would be seen dead without it.”
Her keynote presentationprovides more information about why it is so hard to get traction with universal design in housing. The picture is of Kay Saville-Smith.