Access to home Flashcards
What did the Hill-Burton Act of 1954 do
Correct construction and design problems in federally funded hospitals
What did the architectural barriers act of 1968 create?
The U.S. architectural transportation barriers compliance board which develops standards of accessible buildings
What did the fair housing amendments act of 1988 do
Established guidelines for multifamily housing which mandates accessibility compliance and civil rights protection in private housing
What is one notable change from the former ada guidelines to current guidelines
Grab bar configuration: grab bars on either side of the toilet as an alternative to the bar behind the toilet
Role of Ot in accessibility
Environment can be changed to decrease demands or maximize abilities to facilitate occupational performance
What are specialists role in accessibility
understand the range of possibilities and are knowledgeable in the language needed to communicate with clients and building professionals
What are intervention strategies to optimize accessibility
Inclusive and universal design
Environmental modifications
task simplification strategies
What does inclusive design do
take into account the needs of people w/ disabilities
What does universal design do
Considers all possible users of the space or object
Products that are designed for everyone should use what principles
universal design
What is environmental modifications
Changes made to the current physical space
home modifications
modifications to public spaces
What is task simplification
design features, modifications, and AT are used to decrease environmental demands and to reduce barriers
What can task performance be modified by
position location time of day simplification of steps to task grouping objects for similar tasks
Examples of modifications for home and community mobility
secure handrails
ramps
lifts
Examples of modifications for toileting, bathing, grooming
use bedside commode
sponge bathing at kitchen sink
What is included from plan to implementation in environmental interventions
Awareness of resources
Funding issues
Communication and the interprofessional team
What do OT’s help clients in in awareness of resources
identify the demands and barriers presented in the environment and recommended accessibility options
Identify needed home modifications and access services
Who often assists w/ workplace accommodations for people w/ disabilities
Vocational rehabilitation services
What are subject to compliance w/ ADA
Spaces built after 1990
What is one of the major barriers to accessibility
Finding funding for modifications
What are some sources individuals may use to fund
Pay out of pocket
Assistance from employer
Insurance coverage
Grant funds from community organizations
OT recommendations that address clients functioning are made in collaboration with who
Why
Contractors (designer, architect, building code official)
They understand structural and construction issues
What is the desired outcome
To maximize occupational functioning and social participation
What have ressearchers found cost wise
Home mod and AT are cost-effective alternatives to institutional care
What was found in respect to caregivers
were better able to cope with difficult behaviors of person w/ dementia following home mod interventions
What has research found in respect to fall risk
OT with home mod can be an effective was to reduce falling among older adults w/ history of falls
What is optimizing environmental access influenced by
Political advocacy
legislation protecting civil rights
changing demographics of the population
