Age Friendly Communities Handbook

Front cover of the Age Friendly Communities Handbook.From Norway comes an Age Friendly Communities Handbook that presents information in easy to consume formats. Norway has been driving a universal design agenda through national and local government since 1999. Norway’s key document for this is Norway Universally Designed 2025. This Handbook fits nicely within that framework but with an emphasis on an ageing population.

The WHO Age-Friendly Cities guide is useful and detailed, but it’s showing its age. So this handbook comes at a good time.

Infographic from the handbook showing the essential element of age friendly.The Handbook for Age-Friendly Communities is 70 pages with many photos and graphics. It covers the key steps in the planning cycle, aspects to consider in built design, transport, housing and social participation. Pre-requisites for age-friendly development are co-creation and communication.

Elements not considered in the WHO guide are plain language, internet use and how to co-create and gather information from older people.  Checklists and examples are included. Fortunately the Handbook is in English so many more people can benefit from Norway’s 20 year’s experience. A great resource, particularly for local government.

Norway has reviewed its policies over time and began to include more than the built environment. They also developed a method for mapping their level of accessibility in 2017.

Alternative Age-Friendly Handbook

Front cover of the age friendly handbook. Simple layout white with black text
Front cover of Alternative Age Friendly Handbook

Alternative to what? you might ask. An Alternative Age-Friendly Handbook, with acknowledgement to the WHO’s work on age-friendly cities, takes a different approach to creating age-friendly urban places and spaces.

Focusing on small scale age-friendly urban actions the handbook takes the reader through some useful thinking processes. First, it avoids the language of “apocalyptic demography” where an ageing population is described in terms of disaster and catastrophe. Then it moves on to the participatory approaches that have evolved over the last ten years.

A refreshing presentation of a handbook – not the classic “how to” format. Rather a creative “think about…”  While this is from the perspective of older people, much of the thinking and many of the processes apply to all age groups. It looks like a long document, but that is because it is in large print. An easy and engaging read.  Published by the University of Manchester Library. 

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 disaster 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:

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

2. 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.

3. 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 gave deep insight into the diversity and interrelatedness of factors that increase the vulnerability of people with disability. The report offers new perspectives on why Australian’s with disability are disproportionately affected by disaster. 

Universally designed emergency management

With the increasing frequency of extreme weather events, the need to have inclusive emergency systems is paramount. Although there is some awareness of people with disability within emergency management, there are few tools that embrace universal design principles.

Research has focused on the general public, but not on stakeholders such as first responders, control room personnel and decision makers. Many of us turn to our mobile phones and downloaded apps to keep us up to date. But how inclusive are they?

A research paper from Norway takes the topic of emergency management beyond the physical environment, such as escape routes, to communications technology. Appropriate technology can improve disaster management for everyone.

The paper is a literature review of universal design methods in emergency management. Among the findings was awareness of people with disability was increasing and systems were being adapted accordingly. However, gaps remain.

Some of these are:

    • Most of the work on ICT tools and platforms for Emergency Management does not take into account Universal Design nor accessibility.
    • There is a lack of communication support between emergency medical responders and people that are deaf.
    • In use of social networks in emergency situations, the age gap was identified as significantly more severe than the disability gap.
    • Accessible tools and platforms exist, but most of them are on the conceptual or at best on the prototype level.
    • Research on the use of assistive technology by older adults during disasters is a neglected issue.
    • Accessibility is often limited to access to Internet, rather than the diversity of stakeholders and their access to digital solutions.

They also found that participatory design methods gave best results but were rarely used. Maps for visualising disasters were unlikely to be accessible, but had high value for users. The article is comprehensive and covers every aspect of emergency and disaster management, particularly from the perspective of emergency personnel. 

The title of the article is, Universal Design of ICT for Emergency Management from Stakeholders’ Perspective. It is open source.

 

COVID-19 Screens and hearing augmentation

A man wearing a striped apron passes is behind an acrylic screen. A woman on the other side of the screen is paying for her goods.Acrylic screens have appeared at almost every reception desk in response to covid-safe requirements. But without related hearing augmentation installed, it makes it harder to hear each other.  If people are wearing masks as well, this makes it worse. 

We are familiar with screens at ticket offices, such as train stations, where hearing augmentation systems are mandatory. An article by Bruce Bromley explains how these new reception desk screens contravene the building code if they don’t have hearing augmentation. When businesses installed new screen, few, if any, thought about the communication problems they would cause. And if they did, they perhaps thought we could all live with it.  We need respond to this issue because being covid-safe looks like being a new normal. 

Any service or business that recently installed an acrylic screen at reception should look at finding a hearing augmentation system. It will benefit the receptionist and the customer. Plug and play solutions are available where there is a microphone and speaker on both sides of the screen. I suspect that these screens will not disappear even if and when covid does. It’s all part of adjusting to the “new normal”.

Editor’s comment: Sometimes I find myself or the receptionist ducking around the screen to hear and to be heard. So the screens only work some of the time.

Walking Space Guide: Ease and Comfort

A large arched walkway at night with purple bougainvillea flowers overhead. The pathway is well lit but has the line shadows of the arches across it.Getting out and about is good for our health. We know that. But the environment has to be conducive to encourage walking and wheeling. That means streets and paths have to be designed for ease of access and walking comfort. The Walking Space Guide sets out standards to ensure sufficient walking space is provided for everyone. That includes people with disability, people with mobility limitations, families with young children and prams, and people walking dogs. 

A graphic from the walking space guide showing the distance needed for footpaths.The Guide sets standards for designing, planning and implementing footpaths. It sets targets for five levels of footpaths: local with low and medium activity, and main streets with low, medium and high activity. There is no standard less than 2 metres wide. 

There is a quick overview in a summary of the Guide. Transport interchanges or where walking is highly managed is not covered. Work on a space guide for crossings is underway.

Included in the guide is a method for carrying out a Walking Space assessment and guidance on how to understand the results. There is an accompanying Excel spreadsheet for recording data and calculating results. The Guide was developed by the NSW Roads and Maritime Authority. 

 

Spaces for all ages

Urban landscape with shade trees and lots of casual seating with people sitting.We often hear that an ageing population is going to be a burden. Viewing older people through the prism of health and disability ignores their continuing contribution to society.  The 2015 Intergenerational Report talks of the ‘three Ps’ – population, participation and productivity. But where is the fourth P – policy? 

Emily Millane discusses the issues of ageism, employment and social participation in a percapita report. She asks, where is the fourth P, policy, and argues we need policies to overcome age discrimination in all its forms. This includes the design of public spaces, parks and streets. Urban design plays an important role here. It needs to capture all ages and foster interaction between generations. This strategy might be easier than changing community attitudes in the short term.

Older people are considered lesser value than others – something highlighted by the Royal Commission into Aged Care. COVID brought forth words such as ‘vulnerable’ and applied them only to older people and people with disability.  By perpetuating the idea of being less capable or being a burden on society affects attitudes that are hard to shift. 

The report is titled, Spaces for All Ages: policies for an inclusive Australia.

This report follows on from The head, The Heart and The House

 

Complete Streets: Health agencies play a role

Pedestrians are walking towards the camera. They are on a wide walkway. Some people are looking at their phones. They are dressed for warm weather. There are buildings on each side of the walkwayThe Complete Streets concept is about creating a safe place for all road users regardless of their age or ability. Transport and planning agencies usually have control over road and street plans. But public health agencies also have a role to play. Along with other stakeholders, health agencies can evaluate initiatives from a health, physical activity and inclusion point of view. A report from the US gives an overview of strategies and examples of how public health agencies, advocates and practitioners were involved in planning processes.

The report, published by University of Illinois, is titled, “Public Health Engagement in Complete Streets Initiatives: Examples and Lessons Learned”, is 18 pages plus appendices. 

Complete streets should also mean good footpaths. Parking on and across footpaths in Australia is illegal. For people who are pushing strollers or wheeling anything it means going out on the roadway. And not good for people who are blind or have low vision for the same reason. An article on the BBC News website explains some of the difficulties about this issue, especially now that the UK are providing designated places where it is OK now to Two cars parked with one wheel mounting the kerb of the footpathpark on the footpath. A backward step (excuse the pun). The article includes videos showing the problems. 

Access to Premises Standard Review

It’s time to review the Access to Premises Standard again. The Department of Industry wants to know what works and what needs to be improved. People with disability and their families, and disability advocates are encouraged to say what works and doesn’t work in the built environment.  Building professionals and local council people can also respond. Submissions close 30 November 2020.

The Department of Industry website has a link to a survey where you can give your opinions. There will be a discussion paper to follow.

There is an Easy Read guide to the process and information about the Access to Premises Standard. 

The Review of Access to Premises Standard closes 30 November 2020. You can also send in a written submission.

 

Ambient Technology: Assistive or Intrusive?

A graphic of a blue body with different labels around it. For example, telehealth, patient monitoring, assisted living.Designing and creating electronic devices for older people so they can stay home in their later years is a good thing. But are they actually what older people want? It’s a balancing act between assistance for independence versus privacy intrusions. Where do you draw the line? And will the older person have a say in where that line is drawn? These are tricky questions and the answers are likely to be individual. And what happens to any data that are collected both deliberately and as a by-product?

A conference paper from Germany discusses some of these issues as we are increasingly looking to technology to solve our problems. The issues raised in could benefit from a universal design perspective. Taking this view, one would ask, “How can we make ambient technology more universal and general and less specialised so that people don’t feel stigmatised? As Eva-Maria Schomakers and Martina Ziefle say, privacy concerns include the feeling of constant surveillance, misuse of personal information by third parties, as well as the invasion of personal space, obtrusiveness and stigmatising design of these technologies.

The title of the article is Privacy Perceptions in Ambient Assisted Living 

Ambient Assisted Living is a growing field of research. A related paper on ResearchGate “Enabling Technologies for the Internet of Health Things”, might be a place to start. It contains some useful diagrams.

UD, ID, DfA, UX: A terminology muddle

A hand holding a coloured pen is poised over a green post it note. There are drawings on the table and a smartphone. It indicates UX design.  UD, ID, DfA, UX, UA muddle.

Researchers find it frustrating not having one term to cover the concept of equity and inclusion. One term would ensure we are all talking about the same thing.  But how about practitioners? It’s confusing for them too. The aims of universal design (UD), inclusive design (ID), design for all (DfA), and user experience (UX), have the same aim – inclusion. So why should we have a terminology muddle?

Most designers and practitioners who understand the underpinning principle of inclusion, say it’s not a big deal. But shouldn’t the key issue be about implementation rather than discussing the nuances of terms? Even if we had one term, would that alter designer and practitioner attitudes towards inclusion?

The complaint about terminology among academics has resulted in many papers on this topic. New terms are proposed as a solution but serve only to confuse more. Some even put forth arguments that they are all different things. 

A paper from 2014 is still relevant today because the arguments are still current. This paper discusses historical, methodological and philosophical aspects. It’s a long paper, probably best suited to academics. It covers just about every aspect of the issues. It also draws in the ICF (International Classification of Functioning, Disability and Health) and international standards which is quite useful. 

The title of the paper downloadable from ResearchGate says it all, Universal design, inclusive design, accessible design, design for all: different concepts—one goal? On the concept of accessibility—historical, methodological and philosophical aspects.

What’s it called?

Picture of the back of a house that is being built. The ground is just dirt. Overlaid are words in different colours: Adaptable, Universal, Visitable, Usable, Accessible, Disabled, Flexible Different disciplines, different practitioners, and different countries have evolved their own terms. Academics find this problematic as it makes it difficult to build an international body of research on a topic where terminology can vary so much. Regulations and codes have not helped the cause:

Editor’s note: I also wrote on this topic in 2009: Calling a Spade a Shovel: Universal, accessible, adaptable, disabled – aren’t they all the same? Or you can get the quick version from the PowerPoint presentation.

Abstract

Promoting the efficacies of universally designed built environments has been one of the ongoing quests of disability and ageing advocacy groups, and more recently, governments. The underpinning principle of universal design is inclusiveness – that is, to design across the population spectrum for people of all ages, abilities and backgrounds. This means ensuring architectural features do not inadvertently become architectural barriers to inclusion in everyday social and economic life.

The drive for social and economic inclusion for people with disabilities has recently moved up the political agenda and new policy directions at national and state levels are emerging. Political will is a necessary but insufficient condition to guarantee inclusion if industry does not understand what constitutes inclusiveness in design, and does not understand the differences in terms used in the built environment in relation to inclusion, disability and ageing.

Using the NSW Government’s call for tenders for social housing, and an academic paper as examples, this paper discusses how using various terms such as accessible and adaptable interchangeably might defeat the objective of inclusion, and how the misuse and confusion in terminology hinders not only the uptake of universal design in a practical way, but also stymies academic debate on the topic.

Sea Change or Urban Uplift?

long view of a Perth city mall with shops and cafes under awnings and trees for shade. Tall buildings are in the backgroundWhile some retirees will seek a sea change to resort-style living, others want to stay connected to their families and established neighbourhoods. Some might even be thinking about planning renovations to make staying put easier. A place in the country sounds ideal, but is it the right choice?

An article in Aged Care Insite critiques the age-restricted model of villages. It asks if this is a sustainable model into the future. The article was written in 2018 and shows foresight given today’s issues with aged care. Many of the current issues are discussed and the author, Susan Mathews questions if this is the right way forward. 

Mathews proposes alternatives, one of which is flexibility of design across the housing market so that people can receive care at home when it is needed. This fits with the principles of universal design as outlined in the Livable Housing Design Guidelines at Gold level. Other key points are inter-generational interaction, connectivity, inclusion, and proximity to conveniences. A good article  from an architect’s perspective. The title of the article is Aged Care in the urban context: what’s missing?  

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