Here are some good resources for considering people with dementia in designs. The topic of dementia can also include people with acquired brain injury and other cognitive conditions at any age. They’ve been collected from this website for ready reference. Too many good publications are soon forgotten after their launch.
Jason Barr is an urban planner who lives with several mental health diagnoses. He has a unique perspective to share when it comes to mental health and urban planning and design. His article focuses on his personal experiences in different built environments, and how those experiences impacted his mental well-being.
Barr emphasises the need to design for people and not cars, and the importance of minimising urban sprawl. Given the number of people with a mental health condition, this is a useful perspective on mental health and wellbeing.
Barr concludes: “As planners, we all know one size does not fit all when it comes to built environments and how we experience them. Being able to live within a community built for people and not cars becomes even more crucial than the literature already tells us it is. Its real life. I hope my story can be a reminder to planners and designers everywhere that physical health is not the only dimension of our well-being that we need to pay attention to. Equally important is the consideration of how our cities and towns impact those with mental illnesses. I hope my story “drives” that home. Real consequences on real lives. It is my sincere hope that those who are reading this see that, and take these words into consideration as they craft their local neighborhoods, municipalities, and regions.”
There is a lot of confusion about hearing loops and assistive listening devices. Although public venues should have the loop switched on at the same time as the microphone (because that’s how it works), there are some places that think it should only be switched on if someone asks for it. And then, sadly, all too often, that’s when they find it doesn’t work. But just what is a hearing loop?
Hearing augmentation is not old technology. Technology has improved but the systems remain the same. Andrew Stewart explains the myths in a factsheet, Is Hearing Augmentation Old Technology? The factsheet also includes information about what consumers think about loop systems. The loop system is much preferred as it is discrete. Other systems require patrons to request a device to be worn around the neck, which is stigmatising.
The fact sheets also cover schools and universities, live performance spaces, aged care facilities, installation and signage guides.
Hearing loops are not just about compliance and human rights – they are good customer service.
Hearing loops are good customer service
When theatre patrons can’t make out the dialogue they stop going. There’s no point. But a hearing loop can bring them back. A hearing loop works with a special switch on a hearing aid. It sends the sound from the speaker directly to the aid. Yes, there are other types of hearing augmentation. But who wants to go to ask for a special device to hang round your neck? Older people generally shun assistive technology because of the perceived stigma. Hearing loops are far more discrete. See this video of a case study that surprised a theatre manager.
An accessible and inclusive sports club sometimes requires a few physical adjustments to buildings. More than anything it needs some forward planning and continuing commitment. Access for All: Opening Doors is a guide aimed at anyone involved in running or working in a sports club. However, this guide for physical access and sport is useful for any organisation.
For example, there is information on paths of travel and ramps, signage and colour contrast, and types of doors. Other information is specific to entertainment venues such as spectator viewing areas and acoustics. Doors receive detailed information and the difficulties with revolving doors.
The resource covers the main areas of physical access and leads on to other information. It’s down to the detail such as approaches to the building, information and signage, and getting around the facilities.
The Centre for Accessible Environments website has more free publications.
Kicking goals for sport
Playing and watching sport is a major cultural activity in Australia. Joining a sports club or being part of the fan group brings a sense of belonging. Participating in sport has physical and mental health benefits. Kate Anderson and Susan Balandin write about this important topic in “Kicking a Goal for Inclusion in Sports Clubs and Stadia”. The authors take a universal design approach to solutions.
Their book chapter explains how sports providers can promote inclusion for people with disability. Taking a universal design approach they discuss three key areas: spectatorship, membership and employment. You can get institutional access via Springerlink, or you can access through ResearchGate.
From the abstract
Sports participation and fandom play an important role in the lives of many Australians, including people with disability. Participating in sport offers valuable benefits for physical and mental well-being and can enhance a person’s sense of belonging.
In addition to playing sport, people with disability have a right to be included in mainstream spectatorship and fandom activities. Despite this, many sports clubs fall short and give little thought to the inclusion of people with disability as staff or volunteers.
This chapter covers some of the ways in which sports providers can promote engaging and meaningful community inclusion for people with disability. We adopt a universal design perspective to showcase practical inclusion opportunities for people with disability across three key participation domains in the sporting arena: spectatorship, membership, and employment.
Here are two pictures showing the difference between of access compliance and universal design. The drinking fountain with dog bowl is designed for children, adults and wheelchair users. But it was placed away from the footpath on soil that bogs down in wet weather. And the concrete apron was too small to allow approach from either side.
Once the council were informed, they made the concrete apron larger and connected it to the footpath. It may have been the council’s intention to have this in the first place, but perhaps the contractors thought they could save money on materials.
The first photo shows the drinking fountain on a small square of concrete in the middle of the grass. The second photo shows a larger concrete apron connected to the footpath. It is now accessible to all. Thanks to John Evernden for this item and the photos.
An obvious place to think about healing architecture is hospitals and health centres. The underpinning philosophy is that the physical environment can make a difference to the speed at which patients recover or adapt to acute and chronic conditions. Bindu Guthula discusses this using case studies from Germany, Denmarkand Congo. Gardens and nature, colour and lighting, sounds and aromas are discussed by as well as the built environment. The article includes a checklist from the Center for Health Design for the built environment. This comprehensive article is in the Design for All Institute of India Newsletter (page 155). This international newsletter is a large document and all text is in bold type.
Getting out and about is part of staying active and connected within the community, but some people find that more difficult than others. Inner Sydney Voice has an article explaining the 8 Goals of Universal Designand how they can be applied in the urban environment. The examples given are not exhaustive, but do help with thinking about including everyone. The 8 Goals of Universal Design extend the concepts of the classic 7 Principles of Universal Design that are most often quoted in academic articles. You can download the PDF of the article.
The 8 goals are: Body Fit, Comfort, Awareness, Understanding, Wellness, Social Integration, Personalisation, Cultural Appropriateness. They were devised by Steinfeld and Maisel (2012).
People with Down syndrome sometimes experience space in public and home environments in a different way to others. A study in Belgium of people with Down syndrome and building design revealed some interesting results.
For example, the separation of spaces is not always clear if there is no architectural delineation. Participants showed a preference for brightness, large windows, and illuminated objects and surfaces.
Privacy of space was also important, particularly quiet space for people with Down syndrome. Familiar landmarks and furniture were also important. The discussion section of the paper provides more insights that could help designers consider the intellectual perspectives of users, and not just for people with Down syndrome. The paper also makes links to universal design.
This paper develops an in-situ methodology to help architects insure better inclusion of people with Down syndrome all along all phases of the architectural design process. This methodology first offers architects some design keys in regard of how people with Down syndrome interact with two types of spaces: their personal dwellings and some completely unknown spaces.
The methodology then unfolds towards more pro-active inclusion of the participants thanks to playful expression of their feelings and perceptions. This paper discusses how this methodology relates to inclusive and universal design principles as well as prevalent models of disability in architecture.
Editor’s note: More recent research on neurodiversity, autism and dementia have similar findings.
A short paper by Kalevi Rantanen shows how to combine the principles of universal design and 40 Principles of TRIZ. It gives another perspective on how to apply the principles of universal design in a problem solving context. TRIZ is the Russian acronym for “Theory of Inventive Problem Solving”.
The title ofthe paper is, “Homes for Strong Families, Children, Seniors and All Others. How Universal Design, Design for All and Forty Principles of TRIZ Enforce Each Other”.
The 40 Principles of TRIZ are a list of simple, and easy to learn rules for solving technical and non-technical problems quickly and simply. Studying these existing solutions can inspire people to solve new problems and imagine innovative solutions. They show how and where others have successfully eliminated contradictions. They take us to the proven, powerful recorded solutions contained in the patent database. These 40 Inventive Principles help solve both technical and non-technical problems.
Principles and something more
The paper begins with a note about accessibility being a “must”. In TRIZ jargon accessibility is one feature of the Ideal Final Result. It’s about a check between whether a feature reduces harm for one group without increasing harm for another.
“For example, we consider removing a threshold. A harmful feature, a barrier to the user of a wheelchair or walker disappears. Are the useful features retained? Perhaps even new benefits appear? Everything useful is retained if we move thresholds. A new benefit is that it is easier to clean doors.
Will new harmful features appear? Usually not, but some doors may need sealing. In that case flexible, rubber-like thresholds can be used. Does the system become more complex? No, removing thresholds makes a building more simple.”
The Norwegian Government has taken the principles of universal design and applied them across all policies to create maximum inclusion. This makes everyone responsible for inclusion at every level – in the built environment, outdoor areas, transport, and ICT. Here is an update to “Norway Universally Designed by 2025”.
In 2008, the Ministry of Children, Equality and Social Inclusion, launched its first Action Plan 2009-2013 with the goal of a universally designed Norway by 2025.
The focus on was on people with disability, accessible built environments and minimising discrimination. The plan covered the actions of the public service and all ministries. “The Government’s work is based on universal design. Universal design is an expression of a value put on equality by society.”
In 2010, Norway amended its Planning and Building Act, among others, to include universal design. The plan is to take a staged approach to upgrading public buildings and spaces.
The Delta Centre was given responsibility to coordinate the actions in Norway’s 2015-2019 plan in 2016. This plan is more comprehensive and covers ICT and communications to a more detailed level. This is in recognition of how we are becoming more reliant on digital applications.