POSTECH H uman S ystem D esign Lab oratory Chapter 38 Aging with a Developmental Disability at Home: An Australian Perspective Thu. Kim, Hee-jin * 발달장애 (Developmental disability) 신체 및 정신이 해당하는 나이에 맞게 발달하지 않은 상태 운동발달 지연, 언어발달 지연, 전체발달 지연 등으로 나뉨 뇌성 소아마비, 정신지체, 근육질환, 청력소실, 자폐증, 진행성 뇌병변 등이 나타날 수 있음

POSTECH H uman S ystem D esign Lab oratory Contents  Background  Adaptable housing in Australia  Benefits of Adaptable Housing in Australia  Adaptable Housing – A Quality of Life issue  Conclusion 2

POSTECH H uman S ystem D esign Lab oratory Background  In Australia, people are living longer (People with a disability live longer)  18% of total Australian population & 51% of the population over 60 were identified as having a disability(1993)  will increase continuously  Universal design  good for people with a developmental disability  also for all members of community  No Australian legislation enforces the concepts of universal design 3

POSTECH H uman S ystem D esign Lab oratory Adaptable Housing in Australia  “Adaptable housing(Universal housing)”  is housing that can be adapted to the changing needs of the occupants  provides a choice in hosing for old people and people with disability Aging with disability can remain in their homes & maintain their preferred lifestyle with minimum of disruption  A.S. 4229(1995) – The Australian Adaptable Housing Standard  developed by Standards Australia  to provide guidelines for the design to ensure that housing is both accessible and adaptable  Four sections provide information and guidance on the potential for adaptation, issues relating to siting and access, and finally specific design features  Classification of Adaptable Housing Adaptable housing can be certified Class A, Class B, Class C Class A: all Essential, first Priority Desirable, Desirable features Class B: all Essential & First Priority Desirable & 50% of Desirable features Class C: all Essential feature 4

POSTECH H uman S ystem D esign Lab oratory Adaptable Housing in Australia  Aging in Place – Planning for Old Age  In the recent past, people with disability had to leave the family or community when they need a high level of care  social isolation, including isolation from family, friends, and the wider community  Aging in place is important live 2~3 years linger, are happier, have fewer accidents, have better general health(Pratt, 1998)  Planning for old age is needed But, currently in Australia, very few individuals with a disability plan for their future housing needs Many disability service providers employ workers specifically to assist consumers in for their life goals  These professionals need to be aware of the advantages of adaptable housing 5

POSTECH H uman S ystem D esign Lab oratory Benefits of Adaptable Housing in Australia  Inclusion and Safety Features in adaptable housing that facilitate social inclusion and safety rather than isolation due to health problems –Continuous accessible path of travel into and around the home –Nonslip surface  falls are prevented –Accessible electrical outlets & switches, well-designed bathroom, kitchen, and laundry space  prevent further injury and promote independence  Economic Benefits The additional 5% building costs for adaptable housing are more than made up for by the cost benefits to the community –Reduce care costs for the individuals and state –Opportunity to age in place –Quality of life –Visitability 6

POSTECH H uman S ystem D esign Lab oratory Adaptable Housing – A Quality of Life issue  Example of the importance of adaptable housing to people who have a disability and live in the community  John(55) & Sharon(54) independent married couple both have cerebral palsy( 뇌성 ( 소아 ) 마비 )  John was hospitalized with a hip fracture due to osteoporosis( 골다공증 ) and a bad fall  He is unlikely to walk independently again  need to use a wheelchair for mobility  Their home was assessed for modifications needed to meet John’s new needs Both the toilet and bathroom are too small The wall is a structural wall and cannot be removed without considerable expense The doorways and corridors within the house need to be widened for enough circulation space of wheelchair  Financially prohibitive  must consider alternative accommodation  away from their current social networks  If their house had been adaptable? 7

POSTECH H uman S ystem D esign Lab oratory Conclusion  Within Australia, adaptable housing is still a fairly new concept that is not covered by any housing or planning legislation  Nevertheless, it is clear that as many Australians(including those with a disability) age, the benefits of adaptable housing will become increasingly apparent 8