What are the most important elements of an accessible home environment for someone with a spinal cord injury?

Well an accessible home environment would have to start with the entry and exit, and safety. So if there is a safety plan of how you can get out of the house in case of a fire or some emergency, and that would be usually a ramp, or lift or some other mechanism to get out of the house. And then within the house, look at the areas where you want to be. Look at, do you want to be in the kitchen if you’re a homemaker, then you should certainly make the kitchen accessible or find ways to—if you’re a wheelchair user -- lower the counters, or if you’re a wheelchair-crutch user make adjustable shelves for example, that would be the kitchen environment. You also need access to the place you sleep and preferably to the bathroom area to meet your needs. But does every bedroom have to be wheelchair accessible? No. If you’re not using that bedroom or you’re not inclined into go into that bedroom, and if you have a spinal cord injury you’re hardly likely to be climbing up to the attic. So look at the function of what you do in your home and whether the rooms have to be accessible. I had a father who happened to be a Samoan who had to inform me of Samoan culture in order to look at the home and accessibility. He informed me he did not need access to his children’s room. In Samoan culture, the children come to the parents’ bedroom, and that’s where they socialize and have their family time in the evening. And therefore, he did not need his four children to have wheelchair-accessible rooms. So there’s an example of individualizing what you ordinarily would say, “Oh every bedroom needs to have a wheelchair-accessible door and so forth.” Not in his culture it didn’t, so he only got the one door accessible to him and the kids came to him.

Well number one you need to be able to get into it—I would say a ramp to me is vital. Number two, we try to make sure that they can move from room-to-room-to-room with the greatest ease possible. That could be widening doors; if they have a sunken living room, it could be having a transition ramp in the home. As far as the kitchen goes, a lot of times it’s a matter of lowering cabinets, making their sink accessible enough to where they can get up to the kitchen. I know a lot of times we have assisted contractors in making the stove more accessible because you don’t want to turn on the burners from the back of the stove; you want to have them in the front. A lot of times those are things that contractors really don’t think about unless they’ve done a lot of ADA building.