Accessible Home Articles

Architect with MS Creates Accessible Buildings for People with Disabilities

2009-01-08T15:17:00Z

As an architect, Jerry Green used his professional expertise to design accessible living spaces for people with disabilities. As a person living with MS, he knows firsthand about living in an environment that’s accessible as well as aesthetically pleasing.

Accessible Homes Can Be Aesthetically Pleasing
“You can do the accessibility modifications to a home, and it doesn’t have to look like a clinical environment,” says Jerry. “But you have to take a different approach to things like floor coverings. For instance, thick carpets or a heavily textured stone or tile floor becomes a problem when you are in a wheelchair, or if you have trouble lifting your feet and tend to drag your feet across the rough floor surface.”

Check out more info at the Accessible Living Portal

MS Led Career Focus
Jerry can walk with difficulty, but spends most of his time in a wheelchair. The 61 year old resident of Salt Lake City was diagnosed with MS in 1998. His condition went undiagnosed for five years, a fact that Jerry says may have affected his current level of disability. MS patients tend to have better outcomes when diagnosed and treated early in the progression of the disease.

But the affable, laid back architect doesn’t let his disease get in the way of living life to the fullest. An avid mono-skier, Jerry is a regular with the National Ability Center’s ski program at Park City Mountain Resort. And he’s still practicing his profession, now from home. A successful 23-year career with well known Salt Lake City firm MJSA Architects gave Jerry a chance to apply his skills to many of the city’s most well known and highly regarded projects.

Accessible Building Portfolio
His body of work includes numerous custom residences and some of the region’s first adaptive reuse conversions of historic warehouse buildings into loft apartments and condominiums, where he helped turn historic structures like Salt Lake City’s Goodyear Tire and Rubber Company building into Artspace II, an affordable live/work residential loft apartment building for artists and retail space for local businesses.

One of his favorite projects was the award winning adaptive reuse conversion of the historic Silver Brothers Iron Works and Warehouse into Safe Haven, a multiple unit housing project for inner city homeless individuals with chronic mental illness. He has also assisted in the design of several accessible public housing developments for Valley Mental Health, Salt Lake City Housing Authority, the Housing Authority of Salt Lake County and the Evanston Housing Authority.

As a principal with MJSA, he also was involved in the Oasis Café and Golden Braid Bookstore, one of the region’s most unique retail establishments. Built around a courtyard, the retail space features exposed post and beam construction framed with “Trestlewood” timbers, reclaimed from the historic Lucin Cutoff railroad trestle which ran across the Great Salt Lake.

One of his most recent, and most satisfying professional endeavors was helping fellow MS patient and exercise mate L.D. Artman make some modifications to her home that included a new walk-in shower, accessible bathroom and other touches.

“L.D. was able to find some really unique pieces, like a clear glass vanity countertop,” says Jerry. “The modifications we made are very pleasing, as well as functional.”

Accessibility in an Architect’s Home
Currently, the married father of one daughter by a previous marriage and stepfather to his wife Barbara’s two children is planning some renovations to this own residence, a unique “Art Moderne” white stucco home that was built in 1936.

“While I can get up and down stairs, it is very slow and takes a lot of effort,” says Jerry. He’s considering a home elevator, which he prefers aesthetically over the less expensive stair lift option.

Universal Design Future
As to the future of Universal Design, Jerry says that it’s inevitable that it will become more prevalent.

“Right now, residential builders have not embraced it, because it’s just not that much in demand,” he said. “I think it’s largely because people are in denial about the need. But as the population continues to age, that will change. I don’t see why Universal Design accessibility concepts can’t be marketed successfully, just as is done for compliance with Energy Star energy efficient equipment, construction and Green Building Standards, where we designate them with a star or other distinction.”

Visit AARP's Livable Community Awards for more information about the concept of Universal Design and view some award winning communities and homes built with Universal Design principles.

See Related Articles
For more information about companies incorporating Universal Design into their businesses, see Center for Universal Design Promotes Inclusion for People with Disabilities.

Did you recently remodel your home to make it more accessible to fit your special needs? If so, check out this added benefit - a tax deduction! See Tax Deductions for Accessible Home Modifications.

Tax Deductions for Accessible Home Modifications

2009-01-05T17:23:00Z

Have you spent money during the last year on home modifications or installing special equipment in your home to accommodate a medical condition or disability? You will be pleased to know that you may be able to recoup some, if not all, of the costs. Both the Federal Government and many states offer tax incentives for individuals making accessibility modifications to their home.

Check out more info at the Accessible Living Portal

Costs incurred to implement accessibility modifications in your home are an eligible medical deduction on your Federal Income Tax under “Medical and Dental Expenses”. You can deduct only the amount of eligible medical and dental expenses that is more than 7.5 percent of your adjusted gross income.

As part of your medical expenses, you can include amounts you paid for special equipment installed in a home, or for improvements, if their main purpose was medical care for you, your spouse, or a dependent.

The cost of permanent improvements (such as an elevator) that increase the value of your property may be partly included as a medical expense. The cost of the improvement is reduced by the increase in the value of your property--the difference is a medical expense.

If the value of your property is not increased by the improvement, the entire cost is included as a medical expense. Certain improvements made to your home for accessibility and to accommodate a disability do not usually increase the value of the home and the entire cost can be included as a medical expense. These improvements include, but are not limited to, the following items:

Constructing an accessible entrance or exit ramps for your home.
Widening doorways at entrances or exits to your home for accessiblity.
Widening or otherwise modifying hallways and interior doorways.
Installing railings, support bars, or other modifications to bathrooms.
Lowering or modifying kitchen cabinets and equipment.
Moving or modifying electrical outlets and fixtures.
Installing porch lifts and other forms of lifts (but elevators generally add value to the house).
Modifying fire alarms, smoke detectors, and other warning systems.
Modifying stairways.
Adding handrails or grab bars anywhere (whether or not in bathrooms).
Modifying hardware on doors.
Modifying areas in front of entrance and exit doorways.
Grading the ground to provide wheelchair access to the residence.

Only reasonable costs to make a home accessible are considered medical expenses. Additional costs for personal motives, such as for architectural or aesthetic reasons, are not eligible medical expenses.

Amounts you pay for operation and upkeep of a capital asset qualify as medical expenses, as long as the main reason for them is medical care. This rule applies even if none or only part of the original cost of the capital asset qualified as a medical care expense.

Improvements to property rented by a person with a disability are also an eligible medical expense. IRS Publication 502 indicates that “amounts paid by a renter to buy and install special plumbing fixtures in a rented house for a person with a disability, mainly for medical reasons, are medical expenses”.

As written, it appears that qualifying expenses are limited to special plumbing fixtures, yet upon further discussion with the IRS, it is intended that conditions which apply to an owner occupied property (listed above), also apply to rental property.

Example: John has arthritis and a heart condition. He cannot climb stairs or get into a bathtub. On his doctor's advice, he installs a bathroom with a shower stall on the first floor of his two-story rented house. The landlord did not pay any of the cost of buying and installing the special plumbing and did not lower the rent. John can include the entire amount he paid as medical expenses.

In regards to State taxes, it is recommended you look into your State tax laws to see if they offer any local tax incentives for individuals making accessibility modifications to their home.

For instance, in the State of Minnesota, if an individual purchases a stair lift, ramp or elevator for installation at the principal residence of a person with a disability, they may request a refund of the sales tax paid if the item purchased is authorized by a physician. This refund also applies to building materials used to install or construct these items.

Finally, as always, it is recommended you check with your tax accountant if you have any additional questions.

Jane A. Hampton, CID, CAPS is the President and Founder of Accessibility Design, a Minneapolis, MN based home access design, consultation, and project management company (est.1992). As a Certified Interior Designer and Certified Aging in Place Specialist, Jane Hampton was one of the early pioneers in developing the specialty niche of home access and defining what it is today. She and her company have captured the essence of Universal Design, Aging in Place, and Home Access and have helped thousands enhance their lives by refining residential access and independent living. She is looked to as an expert in the field, as well as an educator on both a regional and national level.

For more information regarding Jane Hampton and her company Accessibility Design, please visit www.accessibilitydesign.com.

See Related Articles
Many people are building new homes or remodeling to universal design standards and increased home accessibility. Read Universal Design Gains Greater Acceptance for more information.

Before remodeling your home to increase accessibility, see Remodeling? Check the Contract Carefully.

Visiting for the Holidays: Home Access Issues

2008-12-01T20:58:00Z

With the holidays soon approaching, will you be entertaining a guest with a disability or are you an individual with a disability who will be traveling to someone else’s home for the holidays? There are many things that can be done to “temporarily” make any home more accessible and user friendly for visitors with disabilities.

Check out more info at the Accessible Living Portal

Wheelchair Accessible Entrance: Plan ahead. Consider renting or purchasing a portable “suitcase” style wheelchair ramp. It may not provide the “ideal” slope to enter the home independently, but with assistance, it will allow access in and out of the home as needed.

Door Widths: By removing a door from its frame, you can achieve an additional 1” to 2” of clearance at a narrow door opening, which may make it wheelchair accessible. Removal of the door can also protect it from occasional scratches caused when trying to pass through the doorway using mobility equipment. Curtains can be hung in the door frame using tension rods for visual privacy. If you desire to keep a door on the frame for better privacy, “swing clear hinges” can be installed to position the door outside the clear opening, behind the door frame.

Maneuvering: Remove furniture along primary pathways to provide a minimum 36” wide path of travel leading to all areas of the home that will be accessed by wheelchair or other mobility devices. In gathering areas such as the living room, family room, dining room, etc., remove coffee tables, end tables or even a chair to make a place for you or a guest in a wheelchair to be a part of the conversation area.

In addition, remove all area rugs and lightweight mats from primary pathways so they do not restrict wheelchair or walker movement.

Wheelchair Accessible Dining Table: One of the most important holiday moments is time eating the wonderful foods prepared for the holidays. Many tables do not provide adequate knee clearance to roll a wheelchair underneath. The table can be easily raised by placing wood blocks below each table leg. To keep the table stable when resting on these blocks, be sure they are no taller than they are wide; for example, 4” wide x 4” deep, and no higher than 4”. Create a hole into the wood block large enough for the table leg to recess into the block.

Kitchen: Pull-out breadboards work well providing a work-surface with clear knee space below for a helper that needs seated access. Bread boards can also be used as an alternative work surface by strapping them across the arm of a wheelchair.

Communication: Use of a walkie talkie or baby monitor can allow communication between a guest with a disability who needs assistance and someone else in the home without having to wake or involve all other household members.

Wheelchair Accessible Bathroom: If the toilet seat is too low, the installation of a plastic riser seat works well and easily attaches to an existing toilet. Grab bars that attach to the toilet seat also work well when installation of permanent grab bars is not possible.

If the vanity mirror is too high, use a hand-held mirror or one which can sit on top of the bathroom counter.

Bathing: For showering, hand-held shower heads are easy to install in place of an existing shower head and will assist in directing water spray when bathing. Any home is improved when a standard shower head is replaced with a hand-held model. They are great for bathing young children and pets, as well as extremely useful when cleaning. Better yet, install a model that comes with an adjustable bar & sliding mounting hook. Then the shower head adjusts to the perfect height for anyone.

A transfer bench can be used with either a bathtub or shower. Grab bars that clamp onto a bathtub rim are also available.

Sleeping Room: In the bedroom, remove any unnecessary furniture and position the bed next to a wall to provide additional clear floor space along one side of the bed. If possible, replace a double bed with a twin bed to achieve more wheelchair maneuvering space.

If the height of the bed is too low to facilitate safe wheelchair transfers, raise the bed by placing wood blocks below in the same fashion as mentioned above for tables. Another solution would be to purchase bed leg extenders which may be available at specialty bed and bath stores (these extenders are typically used to raise a bed to provide storage below).

Some individuals with disabilities who enjoy traveling have gone to the extent of creating a “suitcase of traveling products” that are always packed and ready to go. Many of the suggestions above are items that can be easily packed.

If you need help locating any of the above products, contact your access specialist, therapist, or local medical supply store. They may also be able to help you identify where you can obtain “previously owned” equipment at a lower cost than new equipment. The Center for Independent Living in the area where you live or visit may be able to help you coordinate rental of larger pieces of equipment.

Happy Holidays!

For more information regarding Jane Hampton and her company Accessibility Design, please visit www.accessibilitydesign.com.

Designer Delivers Function Over Form

2008-10-24T16:58:00Z

Michael Graves’ vision has transformed everything from tea kettles to international buildings. As one of the foremost architects in the U.S., Graves has designed projects as diverse as the Walt Disney World Dolphin Resort and the NCAA Hall of Champions. But most people know him more for his everyday household accessories at Target.

Check out more info at the Accessible Living Portal

Form is never more important than function, Graves maintains. Even if he’s designing something as small as a garlic press, he needs to know that it’s going to be comfortable in his hand. Instinctively, a person should be able to pick it up and know how to use it.

Few are aware that he’s been in a wheelchair for five years. An unknown infection (possibly bacterial meningitis) left Graves a paraplegic in 2003, but at 74 he continues to take an active role in his practice.

Graves says that his wheelchair cost nearly as much as a small Mercedes. He believes that’s not only unfair to him, but to someone with less money who has the same needs. Good design should be available to everyone. His goal is to make beautiful, functional objects affordable.

As a child, he loved to draw. His practical mother told him that unless he was as talented as Michelangelo and Picasso, he was going to starve. She suggested engineering and architecture. Fortunately, Graves chose the latter.

The way a building is filled, the interior design elements, are as important as the building itself, Graves believes. Every space has a visual rhythm. Furnishings draw the eye through the room, providing a flow between the foreground and background.

The self-described “general practitioner” has not only put his touch on a majority of project interiors, but also a range of products from jewelry to lighting fixtures for such companies as Steuben, Disney, and Black and Decker. With that variety of experience, Graves is able to offer some tips on decorating:

•   Beware of matching everything. Some elements need to contrast.
•   It can’t be said often enough that paint, including finishes, are the least expensive way to convey richness.
•   Bare floors on a budget? Try sisal. It quiets the room without upsetting its visual harmony.
•   Furniture should be arranged in a way that encourages interaction.
•   Use what makes you feel happy. Forget the color of the month, the “in” style.

Graves is still active in a number of projects. His firm is currently involved in an addition to the Detroit Institute of Arts, as well as a resort in Singapore.

Mom's Moving In? How to Adapt Your Home for Your Live-In Loved One

2008-10-21T05:56:00Z

Whether it's a stroke, Parkinson's disease, diabetes, low vision, or simply old age, eventually everyone reaches a time in their leaves where they need to rely on someone to help take care of them. Depending on their specific situation, that could mean moving into a retirement community or moving in with a loved one. Either destination can be a big change for the retiree, but when they move in with you, it can be a stressful change of lifestyle for both parties.

Check out more info at the Accessible Living Portal

Check out more info at the Stroke Portal

Check out more info at the Diabetes Portal

Check out more info at the Parkinson's Disease Portal

Let's be honest: we care deeply for our elderly loved ones and want to make sure they are taken care of. If that means them moving in with us, then so be it. For many, the idea of sticking them in a retirement community to live out the rest of their days means watching daytime television, consuming Jell-O by the gallon, and trying to tell an orderly who doesn't speak English that they need to use the restroom.

These are all mis-conceptions - planned living communities are really not so bad! However, many people still do not consider that to be an option. But in the back of everyone's mind, they also think of how an elderly relative moving in disrupts the way of life they have enjoyed until now. For the seniors, they do not wish to be a burden on their loved ones.

They do not want to feel as though someone is obligated to take care of them and they like the ability to do everyday living tasks without any assistance. For you, the caregiver, the idea of having someone else to take care of can leave you apprehensive due to your lack of knowledge or experience. You may be concerned about the appearance of you home and how it may change when an elderly or disabled person moves in, but at the same time feel lost or bad about exploring other alternatives.

Fortunately, manufacturers of independent living products have developed items that are beneficial to both parties. Products that allow seniors to handle everyday living without the need for assistance are also being designed to look less clinical and not require a permanent installation. With the right independent living products, seniors maintain an independent and safe lifestyle while you feel less burdened and your house retains its normal appearance.

Bathroom Safety - Preventing Falls Makes Everyone Happier
As we get older and our legs, arms, and hands begin to weaken, the bathroom can be the most dangerous room in the house. Bathrooms combine moisture and linoleum floors, and rarely give you a soft surface to land on if you fall. Getting on and off the toilet or getting in and out of the tub can put an elderly person at serious risk.

To get on and off the toilet, doctors recommend an elevated toilet seat with armrests. While there are models that can be clamped in place and do not require any hardware, they are typically not very sturdy, especially if the person using it is overweight.

Combining the seat and arms with a hydraulic lifting system for extra assistance, the Ergonomic AirLift Bedside Commode is easy to install and can be used as both a raised toilet seat and a stand alone commode. A bracket is attached to the toilet using two bolts once the existing seat is removed. The Ergonomic AirLift slides and locks into place on the bracket and, by simply lifting a lever in the back of the seat, it can be removed for cleaning or to be attached to the stand alone commode frame.

Hydraulic struts mounted in the seat provide an additional boost to help your new house guest gently lower down onto your toilet, and get off the toilet when finished, and can be adjusted depending on their weight. The Ergonomic AirLift features a large, comfortable seating surface and ergonomically-designed armrests, and includes a "guest seat" standard toilet seat. The guest seat can be mounted in place of the AirLift using the same bracket and is ideal for when you have company over.

To get in and out of the shower or bathtub, grab bars are essential for safety. When most people think of bathroom grab bars, the first things that come to mind are a handyman, a big power drill, and permanent holes in your marble or tile. Thanks to the Portable Suction Grab Bars and the Ergonomic Bathtub Grab Bar with Armrest, you can provide your loved ones with a medically safe, sturdy, and completely portable way to steady themselves when getting in and out of the tub.

The Portable Suction Grab Bars secure themselves to completely smooth surfaces using twin suction cups with over 160 pounds of force. Simply clean the surface, apply the suction cups firmly, and flip the levers on the back of each cup. While these are not recommended for pull ups, gymnastics, or hanging a basketball hoop, they will provide a safe, reliable grip to prevent falls.

Some brands are not safe, so be careful what you choose! Portable Suction Grab Bars are available in four sizes and typically range in price from $65 to $140, which is significantly less than the cost of a handyman with a big drill. Brands priced less than $65 tend to lose their suction and are hazardous to use.

The Ergonomic Bathtub Grab Bar with Armrest attaches to the side of the bathtub using a large, padded clamp that is tightened with a wheel. It can be placed on either side of the tub, has six ergonomic "grab areas", and stays securely in place thanks to the non-slip pads on the clamp. The armrest can be mounted on either side of the grab bar or completely removed.

Mobility Products - Get Up, Get Down, Move Around
If your home has a step or threshold at the entryway, it can make getting in and out the door difficult for your new house guest. Since getting rid of the threshold is out of the question, and escalators are expensive to install, a threshold ramp is the easiest, safest, and most cost effective solution.

The EZ Access Rubber Threshold Ramp is an affordable ramp that is not clinical-looking, does not make noise like metal, and does not require a handyman with a drill to install. Simply cut the threshold ramp to the desired length and width and lay it up against the threshold. It does not require any sort of permanent installation and can be moved out of the way when desired.

If your loved one does not have a walker right now, chances are they will need one at some point, or they need one now and just don't know it. Whether they need a walker for use in the house, on the go, or both, the Dana Douglas Nexus III Rollator Walker is the most versatile and easy-to-use model available.

The lightweight aluminum frame uses a scissor-style mechanism to fold vertically as opposed to horizontally, making it easier to fold flat and allowing it to be rolled through narrow spaces with ease. The large wheels roll over most terrain and threshold ramps with ease while the padded seat and backrest gives them a place to rest if needed. Best of all, the brakes are cable-free so they do not require any maintenance and will not get caught on anything in your house.

While they may be opposed to the idea of a walker ("I'm not that old"), and may think they do not need one, seniors will find that walkers are a great precaution against falls in the home and a good way to help keep them active.

Hip surgery, knee surgery, and arthritis can make getting in and out of a recliner or living room chair difficult. Rather than have to help your loved one up or risk them straining to the point of an arm or shoulder injury, the Pride Lift Chair is a great way to enable them to sit down or stand up with ease.

At first glance Pride Lift Chairs appear to be standard recliners; but with the flip of a switch, the chair's powerful integrated motor comfortably reclines the chair or lifts the occupant out of it. The motor is very quiet, operates smoothly, and has an optional battery backup for power outages. Pride Lift Chairs are available in an assortment of styles, fabrics, and colors so they can match virtually any room design and can fit people of almost all sizes.

The Bedroom - Rise and Shine, Sleepyhead
Everyone loves their privacy, but if your elderly loved one needs help getting in and out of bed, has problems staying in bed, or is difficult to wake up when needed, privacy can become a thing of the past. With the right independent living products, however, seniors can go about their normal morning and evening routine with little help at all.

Whether the issue is getting in and out of bead, or just staying in bed, a variety of easy-to-install bed rails are available to help with each consumer's individual needs. If the issue is staying in bed at night, the Standers EZ Adjust Bed Rail is the ideal choice. Easy to install and even easier to use, the EZ Adjust Bed Rail can be adjusted to three different lengths (26", 32", and 42") and folds down when not needed.

If they need help getting in and out of bed, two bed rails are available that are easy to install and very versatile. The BedCane Bed Rail features a padded, cane-shaped top attached to a board that slides between the mattress and box spring. A strap attaches to the bed frame to hold the board in place and an included four-pocket organizer keeps useful items at hand.

The Smart Rail System Bed Rail installs on the bed in a similar fashion, but also features two legs that rest on the floor for additional support. The padded handle can be rotated outwards at any angle to make getting in and out of bed easier. Unlike other rails of this nature that swing at set increments, the Smart Rail's unlimited rotating ability insures that your loved one gets the ideal angle for support without putting too much strain on your wrist.

Is it time to wake up? If they are a heavy sleeper, chances are that a gentle knock at the door or that alarm clock that they have had since the first George Bush was president will probably not do the job. The Sonic Boom Alarm Clock series features alarm clocks in a variety of styles with different features designed to keep any heavy sleeper from sleeping through their alarm.

Each one includes a bed shaker which, when placed under the mattress, shakes enough to wake the heaviest sleepers and send most California residents running for shelter. The tone volume can be adjusted between "subtle" and "wake the neighbors" and is available with or without an AM/FM radio.

The Sonic Boom line of alarm clocks also feature a battery backup for power outages, a snooze button (no one knows why a heavy sleeper would need that), and large digital or analog displays. Some of the clocks are also designed to work with other Sonic Alert devices to notify them when the phone or doorbell rings and to use a flashing lamp as a signal.

Independent Living Products Provide Peace of Mind
When an elderly person has to move in with you, regardless of whether you are their child or grandchild, the sudden change can be difficult for both parties involved. Whether it's a matter of your loved one giving up their independent lifestyle or you experiencing a big change in your home, the situation can be stressful. However, with the right independent living products, you can keep your house relatively unchanged while your loved one maintains an active, safe, and independent lifestyle.

This article first published by, and used with permission of, www.agingcare.com, the Community for Caregivers

Incorporating Universal Design Into Every Room of the Home

2008-10-21T04:09:00Z

With the population aging, universal design has become a hot topic. Seniors want to stay in their homes and age in place rather than be segregated in older adult communities or assisted living centers. How does universal design help them do so? By creating a home environment, both inside and outside a home, as well as a host of products, which make it more possible for everyone to use their home comfortably and safely.

Check out more info at the Accessible Living Portal

Examples Abound:
• An entry without steps makes it easier and safer to gain access, whether the person is in a wheelchair or using a walker or cane.
• A kitchen with mostly undercounter cabinets helps someone short and frail avoid having to step on a stool to reach high cabinets.
• Lighting along a hallway floor can provide a clear path to a bathroom in the dead of night when eyesight is failing.
• Curbless showers with a bench allow someone to roll a wheelchair in and bathe.

While some developers, builders, architects, designers, and even homeowners have resisted incorporating universal design from fear that it will increase costs, most in the field say the expenses are fairly small, compared with overall housing costs and paybacks.

Builder Roy Wendt, head of Wendt Builders Inc. in Grayson, Ga., near Atlanta, estimates that the universal design features he includes in his adult active ranch homes add only $500 per house. Will Johnson, a builder based in Pittsboro, N.C., near Chapel Hill, agrees that $500 can buy numerous universal design features, but he also says that certain items will up that number such as zero-steps from a garage into a house if there’s a steep grade, a curbless shower, and any cabinetry modification. “The price can sometimes go up to $5,000,” he says.

Johnson has found that a bit of creativity also helps. He became interested in the universal design field 12 years ago when his father had a stroke. “He was living in an older home and couldn’t get to the upstairs master bedroom or use the powder room since the doorway was only 2 feet. The house was unlivable for him but it was too expensive to retrofit,” he says.

Johnson’s solution was to build a new one-level house for his father with an elevator. “It’s totally accessible but you’d never know. We even painted rugs on the hardwood floor since we couldn’t have rugs with the wheelchair. It’s a joy to have wide hallways and no steps and not just for him—for all of us to be able to maneuver,” he says.

By incorporating universal design features from the beginning rather than as a retrofit, costs go down remarkably—about one-third less, says Rebecca Stahr of LifeSpring Environs, an Atlanta consultancy for the 50-plus market.

Room-by-Room Assessment
Almost every room and area of a house can be adapted for universal design. Certain features should be used throughout the home such as light switches no higher than 48” so everyone can reach them, at least 32” to 36” clearance for doors so wheelchairs can maneuver fully, and outlets no less than 18 inches from the floor, says Nanette Overly, vice president of sales and marketing for Epcon Communities in Dublin, Ohio, which focuses on condo communities in 32 states.

In addition, window treatments can be installed with a remote control device so shades don’t have to be raised and lowered or pulled side to side, which can add strain, says Markman-Stern. Abundant lighting should be included since low-vision seniors may require up to five times the amount of light for “average” tasks, says Brooke Ziccardi of Ziccardi Designs Inc. in Costa Mesa, Calif.

Entryways
• Besides a zero-step entranceway at the front door, a side or back door and door from a garage into the house should be step-free. Door widths should be 36” rather than 2’6” for easy maneuverability; hallways should be at least 60” wide for a good turning radius.
• Walking paths should be wide enough for someone using a wheelchair or walker.

Kitchen
• Cabinets should have easy to operate levers rather than knobs and the majority should be placed under the cabinet.
• Oven controls should be placed at the front of the range rather than toward the rear for less stretching.
• Wood, vinyl, or tile unpolished flooring with a lot of grout will be easier on feet and eliminate falls.
• Counters should be at different heights to accommodate the different heights of users.
• If eyesight is poor, contrasting colors or materials can help someone differentiate different zones.
• If hearing is poor, flashing lights on appliances rather than bells can alert someone that dinner’s ready.

Bathrooms
• Grab bars to grasp whether using a toilet or getting into and out of a shower are essential and designs today look sculptural. If homeowners aren’t yet ready to incorporate this feature they can have blocking installed behind walls, which will cut the expense later.
• Abundant lighting for overall ambience as well as tasks is essential and special waterproof incandescent lights should be placed in the ceiling of a shower and over a tub for extra care.
• Showers should have a step-free entry and many tub models are available with a door that allows a person to enter. Both should be fitted with a seat, hand-held sprayers, anti-scald valves and niches to hold soap and shampoo at a level that can be reached.
• Floors should be slip-resistant wood, vinyl or tile with a lot of grout for traction.
• The height of counters should be flexible but 34” allows someone in a wheelchair to pull up to a sink. “That counter also should have a kneehole for comfort,” says Markman-Stern.
• All cabinets and drawers should be fitted with levers rather than knobs.
• A comfort-height toilet model should be selected that’s 2” higher than normal and easier to transfer onto from a wheelchair; a wall-flush valve makes flushing easier.

Landry-Room Equipment
• Front-loading appliances are easier to reach than top-loading models.
• Access among levels. In multi-story homes, an elevator can be installed for those not able to climb stairs, or if not needed a space the size of a closet can be left to finish later.

This article first published by, and used with permission of, www.agingcare.com, the Community for Caregivers

Home Sweet Home: Equipment that Helps the Elderly Live at Home Safely

2008-10-21T03:16:00Z

Pamela Braun, MSW, LCSW, CPF, of Geriatric Assessment, Management & Solutions, says letting the elderly person remain at home is the “least invasive intervention” and can be successful. “When people move out the home, it’s usually when Plan A – remaining at home – didn’t work. Try the least restrictive approach first.”

If the elderly person is adamant about remaining at home, and if they can physically and financially care for themselves and their home, here is some equipment that can help make the arrangement successful for everyone.

Check out more info at the Accessible Living Portal

Equipment
• Emergency response system (an electronic device designed to summon help in an emergency)
• Stool riser for the toilet seat
• Grab bars for the toilet and shower
• Hand held shower head
• Bath bench
• Bedroom products (Beds, over-bed tables, pads)
• Medicine droppers and spoons
• Button loopers and zipper pulls, for easier dressing
• Specialized dinnerware, to enable eating with one hand
• Single lever faucets for kitchen and bath
• Touch-tone telephones with large numbers, speaker or hands-free telephones and TDD
• Talking clocks, wristwatches, and calculators, for people with poor vision
• Kitchen implements that make opening cans and bottles, peeling potatoes, and cutting and dicing vegetables easier
• "Reachers” -- pincher-like devices for people who have a weak grasp or limited mobility, to eliminate bending over or having to reach for objects
• “Safety net” – A list of who to call in case of emergency. Keep it by the phone.

Care Assistance
The caregiver doesn’t have to go it alone. There are many types of assistance available, including:
• Respite care workers – relieve a caregiver for varying periods of time.
• Home health care – Home health aides help with bathing, dressing, personal care, etc., while nurses provide skilled care, such as administering medications, inserting IVs, cleaning wounds, etc.
• Home companion – assists with light housekeeping, bathing, grocery shopping, meal preparation
• Physical therapists – in-home therapy sessions
• Transportation services – rides to medical appointments and other transportation needs.
• 24-hour skilled nursing – for those who require around-the-clock care

Providing for the elderly person’s safety and well-being enable them to live at home much longer and also gives peace of mind to the caregiver.

This article first published by, and used with permission of, www.agingcare.com, the Community for Caregivers

Universal Design Gains Greater Acceptance

2008-10-15T18:47:00Z

Linda Everson and her husband built a 1,000 square foot mother-in-law suite in their Alabama home. Linda’s mother has rheumatoid arthritis, and although she doesn’t need a wheelchair, the space was designed to be accessible.

The Eversons interviewed three builders before selecting Baugher Design & Remodel. They spent several months working on a floor plan that includes a bedroom with 12-foot ceilings, a bathroom, kitchenette, 12x8 foot closet, laundry room, and a glassed-in sunroom.

Check out more info at the Accessible Living Portal

Universal Design
Rob Baugher is CEO of Baugher Design & Remodel in Birmingham. He is also a Certified Aging-in-Place Specialist (CAPS). The CAPS program was developed by the National Association of Home Builders (NAHB) Remodelors Council. Aging-in-place simply means remaining in one's home safely, independently, and comfortably, regardless of age, income, or ability level.

Aging baby boomers are the fastest growing segment of the residential housing market. "Baby boomers more than likely won't go to nursing homes," said Baugher. Instead, they will build or remodel homes that they can stay in for life. He adds, "Universal design is a common-sense decision that works for everyone."

"Universal design is good design. It is more comfortable, more efficient, and more beautiful. Universal design is ergonomic and doesn't have to be adapted. You shouldn't have to stoop, bend, step, climb, or reach. Why settle for anything else?" said Rebecca Stahr, president of the Universal Design Alliance, Inc. The Alliance is an international organization that wants consumers to understand that universal design is for everyone.

Universal Luxury
Bathroom - "If everything is well planned, I can take you inside a universal design home and you wouldn't know it. It is high-end design, not a clinical feel," said Baugher. He explains that bathrooms are spacious. Showers don't have doors. "You'll never have to clean a shower door again," he said. The showers he builds have a "U" shape with a half wall of tile. It feels open, but water doesn't splash out. The no threshold entry eliminates stepping up to enter a shower. Shower benches are standard features as is an adjustable water wand. The bathrooms have 30 percent more lighting.

"We've stopped putting in two-foot wide bathroom doors," said Baugher. Doors are 36-inches wide. Sometimes, he uses two French doors and creates a four-foot wide doorway. A traditional bathroom sink was positioned at a 30-inch height, probably so children could reach the faucet. Baugher raises the sink in master bathrooms to 36 inches. He asks, "If you have a bad back, do you want to bend over to wash your hands?

"People are spending the time to have a well-thought out bathroom. The bathroom is more expensive per square foot than a kitchen, even though it is smaller," said Diana Schrage, interior designer at Kohler Design Center. She said, "Our traditional products can be installed in creative ways to meet ADA (American Disability Act) guidelines. For example, the Kohler Tea-for-Two Tub meets ADA requirements when used with a 15-inch transfer seat. The tub has not changed, but how we think about it has."

Consumers can make simple changes during remodeling projects that enhance their homes. Baugher suggests his clients include a telephone outlet and cable line in the bathroom. Each feature costs approximately $7 if done during construction. Place light switches beside the bed to eliminate stumbling in the dark. Raise outlets 18 inches from the floor to reduce the amount of bending when plugging in the vacuum. "Small common-sense changes are perceived as luxury by consumers," said Baugher.

Kitchen - The kitchen is the hub of the home and another area where universal design benefits the whole family. Raising the dishwasher a few inches off the floor makes loading and unloading less of a chore. "Providing a variety of counter heights is a trend in kitchens," said Mary Jo Peterson author of Universal Kitchen and Bathroom Planning. She suggests kitchens include work areas that allow cooks to sit. Homeowners should install under-cabinet lighting and lazy-Susans in cabinets. Use a rolling server cart that coordinates with the cabinets to take food to the table, dirty dishes to the sink, or groceries to the pantry.

Universal Acceptance
A universally designed home is safer and more comfortable for all members of a household, whether they are age 6 or 96. As people age, their vision, hearing, mobility, and strength may decrease, so anticipating potential needs and modifying a home is a wise decision.

Everson is pleased with her new addition. She just wishes all the doors in her home had levered handles and every doorway was wide enough for large furniture. While she originally built the suite to accommodate her mother's needs, she now knows that it is an investment in her own future.

Accessible Botanic Gardens

2008-10-14T06:14:00Z

Accessibility is an attribute many public places claim to have. However, while the ADA requires sites that are open to the public also be accessible to people with disabilities, it is amazing to learn how narrowly some public places define accessibility. Fortunately, botanic gardens tend to naturally lend themselves to easy wheelchair access, but not all botanic gardens are completely accessible.

Check out more info at the Accessible Living Portal

Determining How Accessible a Botanic Garden Actual Is
Before you plan a trip to a botanic garden, you need to evaluate the accessibility of that garden. Start by contacting the garden and asking about its accessibility. Focus specifically on how wide the walkways are, what they are made from, and if there are stairs, ramps, accessible water fountains and restrooms. Finally, don't forget to ask about the accessibility of outbuildings in the garden like gift shops, cafes and rest areas.

How to Find an Accessible Botanic Garden
Finding an accessible botanic garden is going to be fairly easy. Start by identifying all the botanic gardens located in the area you want to visit or near your home. Next, either call the garden or find their website. See if they consider themselves accessible. Many places that are accessible will explain what they mean when they say accessible or partially accessible. If the garden claims that it is partially accessible, chances are that parts of the garden will not be able to accommodate a wheelchair without extra help.

Where Are Accessible Botanic Gardens?
One of the best accessible botanic gardens in the country is the Chicago Botanic Garden. This garden, located at 100 Lake Cook Rd., has been rated as a top botanical garden by several disability advocacy groups. It offers extra wheelchairs at the front desk, plenty of handicapped parking and specially designed gardens for people in wheelchairs or with mobility issues.

Another great, accessible botanic garden is the Denver Botanic Garden. This garden is located at 1005 York St. in Denver, Colorado. This park is fully accessible. It has wide, level paths that work well for wheelchairs, container gardens and raised gardens. This park also offers gardens that are very therapeutic for those people with sensory impairments.

The Fort Worth Botanic Gardens, located at 3220 Botanic Garden Blvd., Fort Worth, Texas, is another accessible botanic garden. This botanic garden offers ample handicapped parking, accessible bathrooms and a great trail system for wheelchairs . The warm weather in Fort Worth adds to the year-round accessibility of the botanic garden, making it one of the best accessible gardens in the U.S.

If you are interested in tropical plants, then the Fairchild Tropical Botanical Garden is a great option. It can be found at 10901 Old Cutler Rd., Coral Gables, Fla. This botanic garden has made a lot of modifications to become accessible. Some of the modifications that have been made include loaner wheelchairs, curb cuts that can accommodate two wheelchairs at a time, hard surfaces throughout the rainforest, accessible bathrooms and special shuttle services to get guests with disabilities to and from the botanic gardens.

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Center for Inclusive Design and Environmental Access in NY

2008-10-10T23:39:00Z

More and more companies are noticing the need for accessible and universal design in a wide variety of products and projects. Consumers can now find options for accessible homes and even accessible tree houses.

One organization making a difference in the arena of universal living is the Center for Inclusive Design and Environmental Access (IDEA). Located in Buffalo, New York, this company is involved in some innovative ideas and projects.

Check out more info at the Accessible Living Portal

What is IDEA?
IDEA is an organization dedicated to design improvements on products and environments. The goal with these ideas is to create a universal design that is accessible to everyone, including those with disabilities.

What is the Purpose of IDEA?
IDEA strives to create new and innovative ideas on accessible design through universal accessibility options. These ideas can be implemented in accessible products and structural designs for the home, as well as the entire living environment and even entire cities. IDEA also seeks to inform as many individuals as possible about these ideas in the hopes of creating a more accessible environment for all.

How Does IDEA Help People With Disabilities?
The goals and solutions developed by IDEA can help those with disabilities by promoting designs that are accessible to everyone. Universal accessibility is very important to those with certain disabilities. A universal design in a structure or project creates an accessible design for those who have limited access to similar products and structures, making these projects easier to use for those with disabilities.

What are Some of the Projects and Products IDEA is Involved in?
Home Modification is one program IDEA has developed. In this program, consultation services are offered to families, social service agencies and other nonprofit organizations. Through the Home Modification program, there is an extensive amount of information available on accessible solutions through universal design.

Universal Design Education Online is a Web site available to teachers and students interested in learning more about accessible living through universal design. The website can be found at udeducation.org. Another program developed by IDEA is called Universal Design Identity Project. Through this program, IDEA seeks to learn more about the general public's perception of accessible and universal design.

Universal Cities is a program that makes resources easily accessible to builders, public officials, the general public and designers. This is done in an effort to eventually design entire cities around universal design. IDEA has developed plans to make New York City a universally accessible city.

The Passport Kitchen Cabinet Line, made by KraftMaid, is an example of an accessible kitchen product with a universal design. This line features a raised dishwasher for extra toe or wheel space underneath, lower cabinets , lowered upper cabinets and much more. The universal design is easy to access from a wheelchair.

The Soft Bathtub is an accessible bathtub with a universal design that is comfortable for anyone to use. Its soft covering helps provide fall protection, and the non-slip design helps prevent slipping. The Soft Bathtub has even been featured on ABC's Extreme Makeover Home Edition.

These are just some of the many projects, products and programs associated with IDEA and its dedication to accessibility through universal design.

Source:
Center for Inclusive Design and Environmental Access (IDEA)

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Center for Universal Design Promotes Inclusion for People with Disabilities

2008-10-10T20:51:00Z

As companies discover the benefits of accessible options through universal design, inclusion for those with disabilities becomes much simpler. Many organizations, programs and companies are putting to use what they have discovered about universal design. The Center for Universal Design (CUD) is one organization that is very proactive when it comes to accessibility through the use of universal design.

Check out more info at the Accessible Living Portal

The Purpose of CUD
CUD promotes, develops, researches and teaches access for all people through universal design. Their goal is to provide products and environments that will allow access to everyone without the need for adaptive or assistive technology and resources. Their desire is to bring this type of access to as many people as possible for as little investment as possible, making accessibility a more affordable option for a wider range of people.

What are Some Things CUD is Involved in?
CUD will be involved in development of the new Children's Museum in Washington by helping with the plans for universal design. The museum is set to open to the public in 2012.

Housing and home modifications are also on the agenda of CUD. Fair housing and new home construction are also concerns of CUD. There is an extensive history on their participation in these areas. One program focuses on ending segregation in housing when it comes to those with disabilities. This same program also seeks to ensure that all people with disabilities have reasonable access to appropriate living conditions. Universal design can help with this issue considerably.

CUD conducts ongoing research in regards to product development, community involvement, as well as the effect that universal design has or potentially could have. Education is also at the forefront of CUD's efforts. Among educational services and products available are workshops, courses, presentations and resources.

An integral part of CUD's implementation includes design. CUD's role in design of universal accessibility options is as a consultant, as well as a variety of other aspects. Those involved in this design process develop concepts for implementation, evaluate products and architectural elements, and offer plan consultation.

In order to reach as many people as possible, CUD must also be proactive in spreading the word. For this reason, educational materials are developed and distributed appropriately, among other tasks. There is also an extensive library of information on universal design maintained by CUD.

Who Benefits From CUD?
A great number of people can benefit from the products and services offered by CUD. People with disabilities are obviously among those will benefit from the universal design solutions. However, they are not the only ones who will benefit. By creating environmental designs that are universally accessible, this brings communities together in a more unified effort.

Contractors, designers, students, organizations, engineers and government agencies can all benefit from the educational services offered by CUD. With the knowledge gained here, these people can implement universal design into their specific area of expertise.

Anyone who helps to make these universal design initiatives possible can take from it the personal satisfaction that often comes along with helping others.

Source:
Center for Universal Design

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Grab Bars: What You Should Know Before Installation

2008-09-26T15:47:00Z

Before beginning a grab bar installation, it is important to know what type of tub or shower you have. The type of shower determines the installation method and products needed to have a successful installation.

Installing Grab Bars to Code
Installed grab bars need to sturdy enough to support your weight. State Building Codes and Federal accessibility guidelines for public buildings require grab bars be installed to support a minimum 250 pounds.

In most cases, additional wood or structural material needs to be added to the shower walls such as installing plywood between the shower unit and wall studs, or solid wood blocking between the wall studs. If you install a grab bar into an existing wall without providing the proper support, the grab bar installation will not secure properly. This could cause you great harm in the event you are relying on the grab bar for support and it pulls off the wall.

Check out more info at the Accessible Living Portal

How to Install
The easiest way to install proper support is to open the wall, either from the toilet room side of the wall, or if possible, through the back side of the wall from the adjacent room. This will require some patch and repair work to the wall after the support has been installed.

Molded Fiberglass Shower
If you have a molded fiberglass shower, installation of grab bars is more challenging. Most prefabricated units use a thin fiberglass plastic wall material that is not strong enough to support grab bar installation. If this is your situation, it’s best to rely on a professional installer who has previous experience drilling holes through a fiberglass wall.

Tools
It is important to have the proper tools to ensure the shower wall does not “crack” or become damaged. The structural issue of concern for grab bars mounted on a fiberglass shower is the air space between the fiberglass wall and stud wall. There is a product on the market which called “The Solid Mount” that attaches to the wall stud, filling the hollow space, sealing the hole and leaving a mounting surface to which a standard grab bar can be safely attached.

If you have tile walls, consider using a professional installer for grab bars to avoid shattering or cracking the tile when you drill screw holes.

Styles and Sizes of Grab Bars

Sizes of Grab Bars
As far as grab bar size and styles, a variety of grab bars is available on the market. They come in different diameters and clearances to the wall, various lengths, shapes and finishes. You need to find a grab bar that has a 1-1/4 inch to 1-1/2 inch diameter (whichever fits your hand size best) and when mounted on the wall, provides a clearance no greater than 1-1/2 inches. If the clearance to the wall is greater than 1-1/2 inches, there is a safety concern. If you were to lose your balance your arm could slide between the wall and grab bar. You could get “wedged” between the wall and grab bar or even break your arm.

Styles and Finishes of Grab Bars
Grab bars don’t have to look “institutional”. Attractive finishes and decorative flanges and screw cover plates are available. Grab bars are available in various colors to match your décor, as well as brass, antique brass, chrome, bronze, oil rubbed, etc. Some of the higher end plumbing showrooms carry the more decorative finishes and cover plates. In addition, some grab bar manufactures offer “non-slip” surfaces which work well in wet areas.

Though at first glance grab bars by different manufacturers appear to be comparable, the quality varies. Here are some questions to ask yourself to determine if you can use a less expensive grab bar or need a higher quality grab bar:

1. Does the grab bar support the user’s weight, or is a stronger grab bar needed? Some grab bars are designed to meet minimum requirements set forth by accessibility codes and guidelines (250 pound minimum) and may not be able to support the weight of a heavier person.

2. If a stainless steel grab bar is selected, will the materials eventually rust (especially in a shower situation)? Grab bars that are made of 3 or 4 series metals (stainless) should not rust, grab bars made of 1 or 2 series metals can rust even though they are stainless steel.

3. If selecting a powder coated (e.g.: white or colored) grab bar, will it rust if the bar gets chipped?

4. Is it important to have a style where the screws are counter sunk (recessed into the bar flange)? Some manufacturers do not recess the screws into the flange. They are less attractive and the screws may catch on the user’s skin, or snag their clothing, etc.

5. Is it important for you to have the screws concealed for a more aesthetic image?

6. Is the flange thickness important to you? Some manufacturers offer a 12 gage flange thickness which is thicker than most that are only 14 gage. (Note: The lower the gage the thicker the metal.)

7. Is the flange “hand pig” welded to the bar? Some welds are thinner and possibly not done by hand which may create a weaker joint.

8. Is it important to have all visible clamp or fabrication marks removed from the surface of the grab bar or are minor imperfections acceptable?

9. Is a product guarantee important to you? Some manufacturers offer a lifetime guarantee.

10. Finally, in regards to position and length, there are many resources available that provide guidelines. But, it is always best to consult with your physician or therapist to determine the best grab bar positioning for your specific safety needs.

For more information regarding Jane Hampton and her company, visit Accessibility Design's website.

Lake Access: Getting From the Cabin to the Lake

2008-09-03T16:46:00Z

If you have lakeside property with a steep hill down to the lake, have you noticed that the slope is becoming more and more difficult to navigate?

There are many reasons why negotiating steep slopes become very difficult … but there are options to assist you in making your lake property accessible.

Check out more info at the Accessible Living Portal

Low Rise Steps
What Are Low Rise Steps?
Some individuals find it useful if a set of low rise steps are constructed into the hill, where the maximum riser height is 4 inches. Lower risers are easier to climb and less fatiguing. Adding a landing or rest area with a bench to break up the stairway can be a nice feature for recouping exerted energy. Ideally, if positioned to capture a vista or lake view, it can create new areas for you to enjoy your property.

Dimensions of Low Rise Steps
If you are ambulatory and need to use a walker for support, the tread width of each stair should be approximately 36 inches to 42 inches wide and the depth should be determined by the size of the mobility aid PLUS your body. Also, if the tread is designed to be approximately 48 inches deep, a wheelchair could be “bumped” up and down the steps – as the longer tread provides a stable landing between each riser.

Stair Accessories
Treads
Stair treads can be constructed out of green treated wood, pavers/bricks, or out of a metal mesh material constructed into a treated wood frame. The nice feature of a mesh surface material is that is will allow water, small leaves, sand, etc. to fall through the mesh openings and provide additional texture without building up on the tread surface thus requiring continual maintenance. Note, however, metal mesh is not so wonderful on bare feet…but effective.

Handrails
Sturdy handrails should be provided on both sides of the stairway for support, and guardrails, if needed, to avoid falling off the side of the stairs.

Alternatives to Stairs
Lift Systems
If using steps is not an option, a tram type lift system can be installed providing access down/up a hill. These units have a platform that is sized large enough to accommodate a wheelchair, cart or other mobility equipment. Units are installed with a rail system firmly cemented into the ground. There are models that provide a choice for side or forward entrance and exiting. Units are operated by electricity and offer controls at the top, bottom and on the platform.

Accessible Docks
Docks can be constructed or modified to allowing easier access into a boat as well. Design guidelines are available through the Federal Access Board as part of the Recreation Facility Guidelines of the Americans with Disabilities Act.

Implementing some of these design features will allow you to enjoy your lakeside property for many years!

For more information regarding Jane Hampton and her company Accessibility Design, please visit www.accessibilitydesign.com.

A Place to Play: Designing Space for Your Child with Special Needs

2008-08-19T23:57:00Z

With the elimination of recess, an intensified focus on learning outside of school, and the increased seriousness of youth sports, children’s opportunities for free play have reached the brink of extinction. Now more than ever, children need a sanctioned area in the home where play is not only allowed, but also facilitated and encouraged.

Check out more info at the Accessible Living Portal

Decades ago, a wise man recognized the importance of play by creating an entire neighborhood that has fertilized the imaginations of millions. Mister Fred Rogers summarized the motivation of his work by explaining, “Play gives children a chance to practice what they are learning.”

“When kids play, they remember. They may not be aware they are learning, but they are aware they are having fun. The unique experience of growing up with a disability commonly involves the loss of control over basic daily decisions," says Rebecca Krook, a play facilitator for children with disabilities. "In addition to their specific symptoms, children with disabilities often face anxiety related to medical procedures and the changing status of their health. Play is an effective antidote for anxiety while fortifying the foundation of a child’s self-confidence."

Researcher and child psychologist Dr. Alicia Lieberman states, “Play gives the child a safe space where she can experiment at will, suspending the rules and constraints of physical and social reality. In play, the child becomes master rather than subject.”

The dedication of an entire room for play is an ideal option for some families, but it’s not the only avenue to promote the value of play. The design, use of space, and addition of stimulating toys surpass the importance of the square footage.

Begin planning the development of a play area for a child with a disability by considering his or her unique needs and abilities. Does your child use a wheelchair? Is your child blind and actively learning orientation skills needed to move independently? For both these children, it will be essential to keep toys off the ground. They should have clearly designated places (i.e., labeled with pictures or tactile signs) that allow the child to retrieve and replace toys.

For many children with different types of disabilities, balance is an ongoing challenge. Stabilize play surfaces by offering tables for block or doll play accessible from a wheelchair, standing, or kneeling positions. If possible, offer soft areas to promote the development of independent transfer skills. Floor play encourages the practice of gross and fine motor skills while allowing children to play more closely with their peers.

Because most public playgrounds and the homes of schoolmates are not accessible, children with disabilities have fewer opportunities to engage in free play with others. Providing an enticing and stimulating environment for play facilitates the formation of relationships and basic social skills. Many parents have discovered offering traditionally outdoor activities in a well-designed playroom provides additional containment with the safety of increased supervision.

The Ekorre line from IKEA, recommended by occupational therapists, allows children to practice balance and sensory integration using indoor swings, hammocks, and ladders. Younger children will enjoy the addition of a small ball pit to stimulate the senses.

Calculate your ability to make changes to the playroom before adding facets that will require an update in only a short amount of time. A stimulating learning environment that offers the opportunity for barrier-free play can be done on virtually any budget. Small touches, like hanging artwork at a child’s eye level, will send a message of acceptance and support to your child.

Once completed and checked for safety, spend time with your child in his or her new space. Encourage family games, time with friends, and individual quiet time in the playroom. In a world of adults and people without disabilities, children will cherish their new sanctuary where they’re free to explore, learn, and play.

Profile: Marca Bristo, Co-Founder and CEO of Access Living

2008-08-05T19:09:00Z

Marca Bristo is the president, co-founder and CEO of Access Living in Chicago, which is an independent living center for people with disabilities. The remarkable Access Living center in Chicago would alone be enough incentive to call Bristo an important disability rights activist.

However, that is far from all she does or has done in the past. Bristo has made a great number of accomplishments regarding disabilities.

The Access Living center, like other independent living facilities, is non-residential. It is a special place where people with disabilities may gain access to a variety of services and resources that can help them reach and maintain their goals of living more independently. Some of the services include housing, civil rights advocacy and education development. The center was co-founded by Bristo in 1979.

Check out more info at the Accessible Living Portal

Independent living centers, such as Chicago's Access Living center, hold to the belief that people with disabilities can care for themselves. Sometimes it may be with the use of accessible equipment or furniture. Assistive technology could also be used. The main goal is to get persons with disabilities managing their own care, being active in their communities and making their own life decisions, rather than being controlled by someone else.

In addition to her accomplishments at Chicago's Access Living center, Bristo is the former chair for the National Council on Disability (NCD). Members of the NCD are appointed by the U.S. president. President Clinton appointed Bristo. She was actually the first person with a disability to obtain that particular position with the NCD. While acting as chair, Bristo actively participated in the enforcement of a great deal of disability rights laws.

In 1995, Bristo became known as the first person with a disability to participate in a UN World Summit. She participated in the UN Summit more than once. Bristo has received so many awards and recognitions, it is nearly impossible to list them all.

A small number of those include being honored for Community Leadership by the YWCA of Chicago, the 1999 Illinois Abilities Expo Lifetime Achievement Award, the Coalition of Citizens with Disabilities of Illinois 1995 Distinguished Citizen Award, the Distinguished Service Award of the President of the United States and the Americans with Disabilities Act Award.

Bristo continues her outstanding efforts as a disability rights activist. Therefore, many will not be surprised if she receives yet another award or recognition.

Sources:
-Access Living, http://www.accessliving.org/
-National Council on Disability (NCD), http://www.ncd.gov/
-NSCIA- "HOF 2006 Nominees: Disability Activist Marca Bristo"

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