Visitability, Universal Design & Residential Enviornments L. Scott Lissner ADA Coordinator Ohio State University

Slides:



Advertisements
Similar presentations
Changes in How We Die Most deaths now in institutions –Families less able to care for dying patients Most deaths due to chronic illness Dying usually takes.
Advertisements

Resveratrol and Decreased Fat Deposition in C. elegans
Resveratrol and Decreased Fat Deposition in C. elegans Alexandra Golway- Period 3 Manhasset Science Research.
Quality Homes For Arizonas Workforce… Key To a Vibrant Economy 14 June 2004 Phoenix, Arizona Michael Collins.
Ozone Level ppb (parts per billion)
The Burden of Obesity in North Carolina
The Burden of Obesity in North Carolina Obesity in Adults.
Abortion Worldwide: A Decade of Uneven Progress
Citations Source: BRFSS, CDC.
Physicians for Healthy Communities Harbor High School May 4, 2006 Dr. Presenters Name.
School Name Presentation Date Name of Presenter Physicians for Healthy Communities.
The World’s 15 ‘Oldest’ Countries and the U.S.
THE COMMONWEALTH FUND. THE COMMONWEALTH FUND 2 Purpose The goal of this chartbook is to create an easily accessible resource that can help policy makers,
Prepared to Care: Who Supports the 24/7 Role of Americas Full-service Hospitals?
TABLE OF CONTENTS CHAPTER 5.0: Workforce
TABLE OF CONTENTS CHAPTER 5.0: Workforce Chart 5.1: Total Number of Active Physicians per 1,000 Persons, 1980 – 2008 Chart 5.2: Total Number of Active.
TABLE OF CONTENTS CHAPTER 5.0: Workforce Chart 5.1: Total Number of Active Physicians per 1,000 Persons, 1980 – 2004 Chart 5.2: Total Number of Active.
Chapter 5: Workforce. Chartbook 2003 Physician Workforce After dropping slightly in 1999, the number of active physicians per thousand population rose.
Chapter 6: Community Health Indicators. 56 Chartbook 2000 Population The population of the United States is expected to grow at a relatively constant.
Healthy Kids, Successful Learners Appoquinimink School District Wellness Policy
1 Learning for employment vocational education and training policy in Europe in Europe.
R O A D U S E R F E E T A S K F O R C E 1 OREGONS TRANSPORTATION FUNDING CHALLENGE.
1 1  1 =.
1  1 =.
Science Jeopardy >>>> Topic 1 Topic 2 Topic 4 Topic Topic 5.
Susan Matulevicius, MD, MSCS, FACC Assistant Professor Division of Cardiology UT Southwestern.
Diabetes in Idaho BRFSS 2009 Data collected from Behavioral Risk Factor Surveillance System Idaho Department of Health and Welfare, Division of.
Overview of Rural Health Care Ethics Training materials from Rural Health Care Ethics: A Manual for Trainers. WA Nelson and KE Schifferdecker, Dartmouth.
Chapter 3. Most degenerative diseases are caused, at least in part, by our modern diet About 60 million adults, or 30% of the adult population, are now.
September 18, 2013 National Housing Conference Carol Redmond Naughton.
THE SOCIAL IMPACT OF TELEVISION. Today, the average American watches close to four hours of TV each day. Based on this, by age 65, the average U.S. citizen.
Instant Recess: Get Moving at the Library
Effects on UK of Eustatic sea Level rise GIS is used to evaluate flood risk. Insurance companies use GIS models to assess likely impact and consequently.
HEALTHY COMMUNITY DESIGN Making the Healthy Choice the Easy Choice Name Title Org.
Adult Literacy, by Region
Obesity is Epidemic in the U.S.  Obesity is the fastest growing health concern in America.  Obesity has more than doubled since  65% of American.
Louann JonesKelli RiceTerry Belflower Carol AbdoDonna BoxJill Martin Reggie KimballTiffany KirklandJamylle Johnson Gavin ColquittAmy DavisMissie Bause.
Kaiser Permanente Total Health: A Bold Goal East Midlands, National Health Service November 2013 Alide Chase, SVP Medicare Clinical Operations and Population.
Stark County, Ohio Consolidated Plan FY ‘14 – ’18 Public Meeting, February 27, 2014 Stark County Regional Planning Commission Public Meeting, February.
Injuries (9.1%) Noncommunicable conditions (59.0%) Communicable diseases, maternal and perinatal conditions, and nutritional deficiencies (31.9%) Total.
Building Better Health Fall/Winter BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” adult No Data
Source: CDC Behavioral Risk Factor Surveillance System Obesity Trends* Among U.S. Adults BRFSS, 1990, 1998, 2007 (*BMI 30, or about 30 lbs. overweight.
CDC Obesity Slides & Updates
America at the Dawn of a New Century POPULATION PROFILE OF THE UNITED STATES: 2000.
1 Driving Factors: Driving Factors: How Transportation Policy Affects Health Environmental Defense National Alliance for Nutrition and Activity Surface.
Exercise as Medicine Instructor of Medicine Department of Medicine Division of Sports Medicine Northwestern University Feinberg School of Medicine.
National Center for Chronic Disease Prevention and Health Promotion Division of Nutrition, Physical Activity, and Obesity Healthy Communities: Healthy.
Obesity Trends* Among U.S. Adults BRFSS, 1985 No Data
Weight of the Nation Addressing the Obesity Problem.
Diabetes Prevention Program Marcelle Thurston MS, RD, CDE Kelly McCracken RD, CDE Colorado Department of Public Health and Environment.
Diabetes: Public Health Implications Dr. Bruce Goodrow East Tennessee State University.
Patterns and trends in adult obesity A presentation of the latest data on adult obesity.
The Aging Population Source: U.S. Census Bureau Percent Growth in U.S. Population, by Age Bracket.
America’s Fully Developed Suburbs The First Suburbs.
Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 1985 No Data
1 Background Hypertension Type 2 diabetes Coronary heart disease Gallbladder disease Certain cancers Dyslipidemia Stroke Osteoarthritis Sleep apnea Approximately.
WHAT IS BMI? BMI BODY MASS INDEX- BASED ON HEIGHT AND WEIGHT TO DETERMINE AMOUNT OF FAT AN INDIVIDUAL HAS OBESE BMI > 30.
Smart Growth Saves By Reducing Healthcare Costs. Smart Growth Saves Transportation-related Health Costs Source: Urban Design 4 Health and the American.
8 - 1 Module 7: Geographical Charts This module includes information on rate maps and spot maps, the two most common types of geographical charts used.
Can We Help Missoula Outrun the Obesity Epidemic?.
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data
Are Physical Activity Professionals Needed?...Yes!
Obesity Trends* Among U.S. Adults BRFSS, 1985
Obesity Trends* Among U.S. Adults BRFSS, 1985
Obesity Trends* Among U.S. Adults BRFSS, 1990, 2000, 2010
Obesity Trends* Among U.S. Adults BRFSS, 1990, 1999, 2009
Obesity Trends - U.S. Adults (1985 – 2010)
Obesity Trends* Among U.S. Adults BRFSS, 1985
Percent High LTSS need Limited LTSS need No LTSS need
Presentation transcript:

Visitability, Universal Design & Residential Enviornments L. Scott Lissner ADA Coordinator Ohio State University

Defining the Problem Housing communities in Atlanta and Decatur, GA v.v.

Many homes and neighborhoods are inaccessible or off-limits to a large part of the population. –5% of U.S. population used some kind of mobility device in 1994, approximately 14 million persons (U.S. Census, 2000). –3% of Americans lived in homes with any kind of accessibility features, although almost 30% of families contained at least one member with a disability (Kaye, 1997). –Over one-million households that have a resident with a disability have unmet housing needs (Kochera, 2002).

Impact of Basic Barriers on People with Mobility Impairments: –Social isolation –Compromised health and safety –Premature institutionalization This current problem will only increase over time…

Aging of the Population:

Source: U.S. Census Bureau, 2001 Rise in Disabilities: U.S. Disability Rate by Age Percent with Any Disability Percent with Severe Disabilit y Percent of Population

Federal legislation does not apply to single family housing –The Fair Housing Act Accessibility Guidelines (FHAAG) cover only multifamily dwelling units. –Townhouses and single family detached homes are not covered by the FHAAG. Housing community in Atlanta, GACourtesy of CNU

Obesity Trends* Among U.S. Adults BRFSS, 1991, 1996, 2004 (*BMI 30, or about 30 lbs overweight for 54 person) No Data <10% 10%–14% 15%–19% 20%–24% 25% 2004 Source: Behavioral Risk Factor Surveillance System, CDC.

Models of Disability Medical Model –Based on diagnosis –Resides in the individual Social Model –Based on interaction between conditions of people & conditions of the environment –Resides in the interaction Which is more relevant for a designer?

Body Functions &StructuresActivities&Participation Environmental Factors BarriersFacilitators FunctionsStructuresCapacityPerformance

Health Condition ( disorder/disease ) Interaction of Concepts Interaction of Concepts Environmental Factors Personal Factors Body function & structure Impairment ActivityLimitation Participation ParticipationRestriction

Universal Design is: Market driven A process not a goal Minimizing incompatibilities between conditions of people and their environment About form and function Incorporates awareness of all users needs Comfortable & safe for widest possible range of potential users Inclusive Requires the mindful creativity of the designer Universal Design is not: Compliance with minimum accessibility regulations Adding on a ramp or accessible features One size fits all

Equitable Use Flexibility in Use Simple and Intuitive Use Perceptible Information Size and Space for Approach and Use Low Physical Effort Tolerance for Error The Principles work most effectively when used together

What is Visitability?

In 1986, Concrete Change sought to make new homes accessible enough for a visitor with a disability. This concept was called visitability.

Three Principles of Visitability 1.Social participation is a civil right Visiting other peoples homes is as important to people with mobility limitations as it is to other people

2.Access is cost-effective if planned in advance New ConstructionRetrofitting Zero-Step Entrance$150$1,000 Widen Interior Doors$50$700 Total Cost $300 (or 1/3 cost of a bay window) $7,500-$15,000 per unit, for older units Source: Overton, 2000; Concrete Change

3.Simplicity promotes implementation (Rodgers, 2002) Attributes of Innovation that Enhance its Adoption Rate: 1.Relative Advantage 2.Compatibility 3.Complexity 4.Trialability 5.Observability

Visitability Features One zero step entrance on an accessible path of travel 32 inches of clear opening at doorways and accessible circulation throughout the floor plan Basic access to at least one bath or half bath on the ground floor Step-less entrance Bathroom access Accessible circulation

Variation in Visitability Programs Jurisdiction State Local Federal Scope Three visitability features Additional features Enforcement Mandatory – ( Publicly Funded Housing, All New Homes) Voluntary – ( Cash Incentives, Awareness Campaigns, Certification Programs)

MandatoryVoluntary Publicly Funded Housing All New HomesBuilder IncentivesConsumer Incentives Texas (1999)Florida (1989)Illinois (2002)Georgia (1999) Georgia (2000)Vermont (2000)Pennsylvania (2004)Virginia (1999) Minnesota (2001) Georgia (2002) Kansas (2002) Kentucky (2003) Oregon (2003) Michigan (2006) Types of State Visitability Programs:

MandatoryVoluntary Publicly Funded Housing All New HomesCash Incentives Awareness Campaigns and Certification Programs Atlanta, GA (1992)Naperville, IL (2002) Freehold Borough, NJ (1997) Irvine, CA (1999) Austin, TX (1998)Pima County, AZ (2002)Southampton, NY (2002)San Mateo County (2001) Urbana, IL (2000)Bolingbrook, IL (2003)Southampton, NY (2002)Visalia, CA (2001) Fort Worth, TX (2000) Escanaba, MI (2003)Albuquerque, NM (2001) Long Beach, CA (2002) Houston, TX (2004)Onondaga County (2002) San Antonio, TX (2002) Syracuse, NY (2003) Iowa City, IA (2002) Sacramento, CA (2003) Chicago, IL (2003) Prescott Valley, AZ (2005) St. Petersburg, FL (2004) Toledo, OH (2005) Auburn, NY (2005) Scranton, PA (2005) Arvada, CO (2005) Types of Local Visitability Programs

Federal Visitability Bill U.S. Representative Jan Schakowsky (D.-Ill.) first introduced H.R. 2353, The Inclusive Home Design Act, in June On March 17, 2005, she reintroduced the Inclusive Home Design Act. For the 109th Congress, the bill number will be HR "It defies logic to build new homes that block people out when it's so easy and cheap to build new homes that let people in," says Schakowsky. The bill currently has 36 cosponsors and is in committees. Rep. Jan. Schakowsky

Important Barriers and Policy Issues Surrounding UD Neighborhoods Housing community in Decatur, GA

Lack of cost information Problems with groups organizing initiative Legal restrictions Opposition from homebuilders Delayed by political process Reasons Cited for Lack of Implementation

Value Conflicts: Equity vs. Livability Primary Purpose: Social Participation vs. Aging in Place Level of Access: Basic vs. Full Type of Program: Mandatory vs. Voluntary Courtesy of CNU Policy Issues