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Visitability: Housing Advocate’s Life Goal

By Janine Bertram Kemp

Eleanor Smith invented the concept of "visitability" (aka inclusive home design) and has led the Atlanta, Ga.-based organization Concrete Change since the mid-1980s.

Floor plan for an accessible house

After taking part in an ADAPT demonstration for access to public transit, she thought, “Why can’t we do that for housing?” Now Smith, nearing 70, is seeking a new home for the visitability movement. She hopes to find a center for independent living that has the will and resources to commit to the fight for inclusive home design.

According to Smith, visitability requires that every newly built home have the following:

  1. At least one zero-step entrance, at the front, back or side of the house.
  2. Main-floor doorways, including bathrooms, at least 32 inches wide. ?
  3. At least a half bath -- a full bath is preferable -- on the main floor.

Within the movement, there is confusion about the difference between inclusive design and universal design (UD). UD is affiliated with academia and includes a plethora of accessibility features, all equally weighted. UD features include a lever door handle, knee space under cabinets and a wide doorway. An architect or builder could pick and choose among UD features. Thus, the UD mindset is great for a specially built house but not for policy-driven solutions that affect all new houses. The three requirements of visitability mean everyone can get into a home and use the bathroom -- or “Get in and pee,” as Smith says.

There have been other leaders in the struggle for equality in housing, but Smith -- a quiet, unassuming wheelchair user -- has remained focused on visitability for the past 25 years.

“One of the things that Eleanor Smith has done for disability rights is start from nothing, stay true to the grass roots, and produce the terms and regulations that define how we talk about inclusive home design,” said Tom Olin, photographer and national disability organizer. “She has made sure it means access to a community and all its parts.

“It is imperative that Concrete Change continue because we are still on the threshold, the proverbial doorstep, of finally making the big developers and regulators be part of the solution instead of part of the problem.”

Meg Traci of the University of Montana Rural Institute said that

Smith helped advance academics. “Eleanor got us 'unstuck' here in Montana and gave us a common language to move forward,” she said.

The story of Concrete Change is that of a seemingly ordinary person committing to a goal, sticking with it, and altering the world.

A non-disabled architect once said that disability "is not caused by the physical condition. Disability is caused by the built environment.” When Smith, grounded in the civil rights movement, heard that quote, it hit home.

Of course, behind the revelation in that quote were the myriad life experiences of hurtful discrimination experienced by every person with a disability. If the disability is mobility-related, the experiences are about lack of physical access. For Smith, these seminal, hurtful instances occurred before there were any civil rights protections and at a time when non-disabled people had little concern for the obstacles others faced.

Sometimes she would be invited to a party at a friend’s inaccessible house, which took place up a flight of stairs. She would arrange with her friend to call before leaving home so others would meet her and carry her up those stairs. When she got there, she would wait awhile in front of a long staircase until it dawned on her that no one was coming. The friend had forgotten her. She then would drive back home, take off her party clothes and spend the evening alone.

Now Smith lives in a co-housing community in Atlanta where she attends dinners and barbecues, and where she can and does visit her neighbors. If a neighbor has a crisis, Smith can get in to provide assistance.

In Smith's neighborhood, "every home is visitable," said Mark Johnson, director of advocacy at Shepherd Center in Atlanta. "She has accomplished all this while working out of her house. There is a fascinating history about visitability that is not out there. But if you peel it back and peel it back, Eleanor’s name is going to show up as the key player. In many ways she has had more impact than anyone would know. In the next five to 10 years, with the number of aging baby boomers, the demand for inclusive home design will accelerate.”

Smith has seen visitability laws enacted in about 50 cities and counties around the nation, although the laws are uneven and enforcement more so. Smith acknowledged that ableism (discrimination or social prejudice against people with disabilities) has been the unspoken force that slowed the visitability movement. It takes a person “really getting it” to create change.

“Visitability only happens in cities, counties and states because a local person really gets it and decides they have the energy to press for it," Smith said. "Some (localities) were unsuccessful; they tried very hard, (but) their bill didn’t pass. But I still say they planted the seeds. Others had quite a lot of success, striking success, to where two advocates, a husband-and-wife team from Arizona, got through the first law that covered all the houses, whether public money was used or not.”

The Arizona law to which she referred covers Pima County, a community of about 1 million people that includes Tucson. As of September 2010, more than 21,000 visitable homes have been built in Pima County. Yves Khawam, Pima County’s chief building official, wrote Rep. Maxine Waters, D-Calif., in support of a national Inclusive Home Design Act. The letter was a testimonial regarding Pima County’s experience with builders' reactions and the real estate environment.

“While these requirements were at first resisted by builders based on the fact that they would require costly changes to conventional design and construction practices, it became evident that with appropriate planning, the construction could result in no additional cost," Khawam said. "Indeed, the jurisdiction no longer receives builder complaints regarding the ordinance, and the ordinance has been so well incorporated into the building safety plan review and inspection processes, that there is no additional cost to the county to enforce its requirements.

“From a real estate perspective, homes built to this standard are deemed more marketable, but even more importantly, the accessible features of these homes remain unnoticed when toured by individuals not seeking accessibility. One of the initial concerns of the ordinance implementation was that it would result in homes appearing institutional in nature. This has not occurred within Pima County. As such, it would seem reasonable to anticipate like benefits and impacts by extending these requirements on a national level in line with the proposed Inclusive Home Design Act.”

Clearly, Pima County developers and real estate agents have learned the benefits of visitability. Smith believes CILs could benefit from understanding the negative correlation between visitability and institutionalization.

“Centers for independent living and others in our movement need to know about visitability,” Smith said. “What are the strengths and weaknesses of the arguments we make? The strength is visitability says everybody’s house needs to be accessible. The weakness is we have not really touted the obvious other half of the picture. You are less likely to be kicked out of your own house.

“How many people get kicked into nursing homes because their house lacks access, and we can’t come home to where we live? With aging baby boomers, the numbers could be staggering. Among older and younger people, the lack of home access dropkicks people into nursing homes. The extent to which lack of access in one home is a factor in nursing home admission is an ill-researched and acknowledged fact.”

Smith’s target retirement date is April 2013. “I am going to fold the tent and go cold turkey when I turn 70,” she said. For the CIL that takes on Concrete Change and visitability, she is adamant that everything be open for discussion. “I want to make it clear that a complete transition will be taking place, and the only thing I would offer is technical assistance for that group itself.”

Smith is searching for a large CIL that will be around for the next 10 years, one with a history of direct action and policy work. She wants a center “with an ADAPT frame of mind as well as policy experience.” The center, Smith said, should have enough employees to afford to assign one, preferably a skilled organizer, who would devote at least half of his or her working hours to the issue of how new houses are built.

With more baby boomers aging and becoming disabled, the next 10 years are projected to be an explosive time for inclusive home design. For a CIL with the resources and commitment, incorporating Concrete Change and taking the lead on visitability could push it into the forefront of the independent living movement.

For more information or to contact Eleanor Smith, go to www.concretechange.org.

Janine Bertram Kemp is a writer and disability rights advocate who lives in Zig Zag, Ore. She is currently working with Tom Olin on the Disability Rights Center Photo/Oral History Project.


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