Accessibility:

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Accessibility

• Making a House into a Home
• Julie Gaby, MPA, OTR/L
• Accessibility
• Use of an environment by people of different
  needs and abilities.

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House vs Home

• What is the difference between a house and a
  home?
• It is the difference between WHERE you live and
  HOW you live.

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House vs Home

• House A dwelling with a sanitary facility, food
  preparation area, rest area, and storage.
• Home A dwelling that provides individual access,
  comfort, safety, security, and recreation.

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Outline

• OT role in Accessible design
• ADA guidelines
• Examples of accessible design
• Dos and dont for home construction
• Resources

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Occupational Therapy

• Occupational therapy is a science-driven,
  evidence-based profession that enables people of
  all ages to live life to its fullest by helping
  them promote health and preventor live better
  withillness, injury or disability. 

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Occupational Therapist

• Uniquely experienced in assessing and treating
  individuals with physical and psychosocial
  challenges.
• Uses the individuals perspective of important
• occupations or activities that they care
  about.
• Masters or Doctoral level education.

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Home Accessibility ExpertOccupational Therapist

• Occupations work, play and self care
• Skilled in assessing the interaction between
  individuals physical status and their
  environmental needs
• Activity Analysis-what and how
• Energy conservation
• Creative-developing solutions
• Advocacy

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Considerations

• Limitations in mobility-crutches, cane, walker,
  or wheelchair
• Decreased upper and lower extremity strength
• Decreased range of motion
• Decreased sensation
• Decreased endurance
• Cognition and memory
• Additional medical complications

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ADA History

• 1990 Americans with Disabilities Act
• Bill includes Guidelines for pubic
  accommodations, new housing, modifications and
  rentals
• Website www.ADA.gov
• Website www.eeoc.gov
• Website www.doj.gov

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ADA Guidelines

• ACCESS
• Entranceways
• 36 inches wide exterior doors
• 36 inch wide pathways
• Ramps
• For every inch rise it should be 12inchs long
  112
• Example For a 4 inch step rise, you need 48
  inch long ramp (4 feet)
• Railings
• 30 inches high for children/38 inches for adults

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Ramp Considerations

• Materials depends on weather, terrain and length
  of ramp.
• Wood vs metal vs concrete
• Well designed and installed.
• Non-slip material

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Ramps
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Exterior Ramps
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Ramp-Threshold
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Portable Ramps
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Vehicle Ramp
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Entranceway
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Entranceway

• Lighting
• Mailbox
• Windows

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Garage/Carport

• Automatic door opener
• Garage-height 9ft 6 inches for a van
• Attached-with accessible entrance
• Covered route from car to entrance
• Motion sensor lighting

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Automatic Door Opener
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COMFORT
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Bedroom

• Doors-32-36 inches, lever handles
• Flooring-wood, tile or low pile carpet
• Bed and table height-risers if needed
• Closets-sliding or pocket doors
• Phone/Intercom system
• Transfer assists-reinforce ceiling

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Bedroom Adaptations
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Work space
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Now, on to the kitchen!
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Kitchen

• Doorways
• 30 inches wide
• Countertops
• 34 inches height more or less
• 24 inches deep
• Turning radius 30 inches
• Square, T, or L configuration

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Kitchen

• Sinks
• Open area under sink
• Water pipes covered
• 5-6.5 inches deep sink
• Single faucet handle
• Goose neck faucet with swivel
• Long sprayer hose
• Mirror above sink-angled

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Kitchen

• Electrical outlets easy access 36-48 inches from
  floor
• Counter top microwave and toaster
• Convection oven-convenient cooking
• Stove controls in front or side
• Mirror over stove
• Lower wall oven 30-42 inches
• Pull out cutting board

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Kitchen

• Refrigerator-side by side, frost free, dispenser
  type for ice and water
• Dishwasher
• Easy care flooring
• Rolling cart with drop down leaves for moving
  heaving objects
• Easy draw pulls-D or C style
• Heat resistant countertop

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Bathrooms

• Doorways
• 32-36 inch width
• Reduced threshold-smooth transition
• Counter tops
• 34 inches more or less
• Sinks
• Open clearance under cabinet
• Goose neck faucets
• Single handle temp control
• Slanted mirror

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Bathrooms

• Biggest bathroom challenge is the doorways!
• This swing clear hinge allows another 1 1/4
  clearance into the bathroom.

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Bathrooms

• Open storage shelves-chair height-baskets
• Lighting over tub or shower
• Grab rails-horizontal and angled
• Toilet seat height-varies depending
• Adult vs Children
• Shower chairs, fold down seat and tub benches
• Flooring-non slip, no bath mats
• Bath accessories

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Bathroom
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Tub benches
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Grab Bar/Toilet Paper Holder
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Living Room

• Arrangement of furniture
• Throw rugs-throw them out!
• Outlets-24-30 inch high
• Switches-rocker style 36-48 inches high
• Clutter-get rid of it!
• Slide opening windows 24-28 inches from floor

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Laundry Room

• Front loading washer or dryer
• Stackable washer or dryer
• Doors swing away from each other
• Cover top of appliance for folding area
• Fold down ironing board
• Low, retractable hanger line

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SAFETY

• Alarm system
• Visual device for fire alarms or door bells
• Fire extinguisher within reach
• Accessible phone in kitchen, bed and bathrooms
• Anti-scald device for H20 heater

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RECREATION

• Transition-indoor to outdoor
• Covered porch
• Accessible picnic table
• Landscaping-solid surface to walk or roll on

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Dos and Donts

• Do your homework with regard to accessible design
• Use an accessible design expert
• Choose a contractor who will listen to your needs
• Get references
• Be hands on with the process
• Speak up if its not right
• Get it right the first time

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Resources

• www.ADA/gov.
• www.eeoc.gov/facts
• American Occupational
• Therapy Association
• www.aota.org
• National Association
• of Home Builders
• www.nahb.org

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Resources

• American Society of Interior Designer (ASID)
  www.asid.org
• www.dwyerkitchens.com
• www.kraftmaid.com
• Sammonspreston.com
• www.openSesamedoor.com
• www.moen.com
• Certified Aging In Place Specialist
• CAPS

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