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Craig Ravesloot & Lillie Greiman

Question: How many people with mobility impairments have poor access to their homes and transportation? The American Housing Survey–2009. Craig Ravesloot & Lillie Greiman. Results. There are 7.3 million American households that have someone age 18-65 with a mobility impairment.

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Craig Ravesloot & Lillie Greiman

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  1. Question: • How many people with mobility impairments have poor access to their homes and transportation? • The American Housing Survey–2009 Craig Ravesloot & Lillie Greiman

  2. Results • There are 7.3 million American households that have someone age 18-65 with a mobility impairment. • Over 50% have steps at the entry of their home • 28% live in a multistory apartment building and over 40% of these people climb a flight of stars to get home (almost 1 million people) • 11% have no access to transportation • Over 37 million housing units occupied by people age 18-65 have a no step entry (42%)

  3. Policy Implications • Home is the onramp for community living. • For the majority of people with mobility impairments, it is not easy to leave home and for 15% it is either difficult or impossible. • Theoretically, there is enough housing stock that can be accessed, but people with mobility impairments don’t have access to it. • How can we get more people with mobility impairments into the housing stock that has at least “front door” accessibility?

  4. Practice Implications • Don’t assume people have basic access in and out of their homes • Many interventions (e.g., vocational rehabilitation, physical therapy) will be more successful when basic housing access is assessed and problems addressed • Behavioral economics suggests that as the cost of leaving home increases, treatment adherence may decrease

  5. Consumer Implications • There probably is enough accessible housing, but people must be good self-advocates to get into it. • Section 504 of the Rehab Act has provisions for moving people out of accessible apartments when they are needed by someone with a disability. This provision should used. • This may be a good provision for reauthorization of the Fair Housing Act.

  6. Questions to Address • What is the impact of not having easy access out of your home on other variables like need for personal assistance services and health conditions including mental health? • How can we get more people with mobility impairments into our accessible housing stock? • Who should be helping people evaluate their need for accessible housing?

  7. Steps at entrance

  8. No Transportation available or nearby

  9. Cars available for household use

  10. Urban-Rural Comparison of Transportation Access. Urban (inside MSA) Rural (outside MSA)

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