Benefits and Services for Persons with Disabilities
SUPPORTS AND SERVICES FOR ADULTS AND CHILDREN AGED 5—14 WITH DISABILITIES IN CANADA: An analysis of data on needs and gaps

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Section IV: Housing Features

Persons with disabilities often require specialized features within and around their homes. These features can include: ramps or street level entrances; automatic or easy to open doors; widened doorways or hallways; elevator or lift devices; visual alarms or audio warning devices; grab bars or a bath lift; and lowered counters in the kitchen.

Magnitude and Nature of the Requirements

Nearly half a million adults with disabilities (15% of the adult population with disabilities) have some requirement for a specialized housing feature. Just over half of these individuals (56%) are seniors (Chart 1.30).

D

Seniors —vs- Working-age

In addition to comprising a slightly larger proportion of those requiring specialized housing features, seniors also have a higher rate of requiring such features (19% compared with 11% among working-age individuals).

Gender and Severity Level

Women (17%) are slightly more likely than men (11%) to require specialized housing features. As well, the likelihood of requiring specialized housing features increases with level of severity of the disability. As indicated in Chart 1.31, 8% of those with a mild or moderate disability reported a requirement for specialized housing features; this increased to 19% among those with severe disabilities and to 36% among those with very severe disabilities.

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Type of Disability

Persons with mobility disabilities contribute most overall to the requirement for specialized housing features (464,570 of them reported some type of requirement). Persons with agility disabilities also contribute a great deal to the overall requirement for specialized housing features (448,430). It is important to note, however, that a high proportion of people have both mobility and agility disabilities. Similarly, there is a high degree of overlap with these two disability types and pain-related disabilities (also contributing highly to the requirement for specialized housing features with 381,110 people).

Table 1.12
Percentage and Number of Persons Requiring Specialized Housing Features by
Type of Disability
 
%
Number
Agility 20% 448,430
Hearing 16% 172,900
Learning 16% 70,390
Mobility 19% 464,570
Sight 23% 138,870
Speech 25% 89,320
Memory 22% 92,460
Developmental 11% 12,780
Pain 16% 381,110
Psychological 17% 90,820
Source: PALS, 2001.

While agility, mobility, and pain-related disabilities (and, to a lesser degree, hearing and sight) contribute most to the overall need for specialized housing features, the greatest rate of requirement (i.e., the proportion of those with a particular type of disability who have the requirement) is found among those with speech (25%), sight (23%), and memory (22%) disabilities. (Table 1.12)

Which Specific Specialized Housing Feature is Most Required?

The most required specialized housing feature is the 'grab bar/bath lift' which is required by 353,580 adults with disabilities. 'Ramps or street level entrances' are the second most required specialized housing feature with 210,610 people reporting a requirement. Table 1.13 summarizes the requirements for specific specialized housing features from most required to least required of those covered in PALS, 2001.

Table 1.13
Requirements for Specific Specialized Housing Features Number and
Percent of all Adults with Disabilities
 
Number
Percent
Grab bars/bath lift 353,580 10%
Ramps/street level entrance 210,610 6%
Other 138,640 4%
Elevator/lift service 135,040 4%
Automatic door 122,930 4%
Widened doorway/hallways 100,610 3%
Visual alarm/audio warning device 67,680 2%
Lowered counters in the kitchen 39,560 1%
Source: PALS, 2001

What is the Gap between Requirements and Reality—What is the Unmet Need for Specialized Housing Features?

Of those who do require some type of specialized housing feature, 63% report that their needs are fully met; another 11% report that they have some of what they need, but require more (needs partially met); and 26% report that their needs are completely unmet. When we look at specific features, we see that there is a high unmet need for lowered kitchen counters and "other" specialized features not specified in PALS (45% and 43% unmet need respectively).

Specific Specialized Housing Features

Table 1.14
Met and Unmet Needs for Specific Specialized Housing Features
  % Needs
Unmet
% Needs
Met
% Total
Need
Total Need
Number
Grab bars/bath lift 25% 75% 100% 353,580
Ramps/street level entrance 25% 75% 100% 210,610
Other 43% 57% 100% 138,640
Elevator/lift service 29% 71% 100% 135,040
Automatic door 23% 77% 100% 122,930
Widened doorway/hallways *21% 79% 100% 100,610
Visual alarm/audio warning device *20% 80% 100% 67,680
Lowered counters in the kitchen *45% 55% 100% 39,560
Source: PALS, 2001
* Figure should be used with caution due to low sample size.

Gender and Age:
Little Difference by Gender -but-
Non-seniors More Likely than Seniors to Have Unmet Needs

Men and women are equally likely to have an unmet need (11% partially unmet and 26% completely unmet for both genders). However, working-age individuals are more likely than seniors to have an unmet need. Of those who require some type of specialized housing feature, nearly three-quarters (73%) of seniors have their needs fully met compared with half of working-age persons with disabilities. A fairly high proportion (36%) of working age persons who require specialized housing features report that they have none of what they need (compared with 18% of seniors). (Table 1.15)

Table 1.15
Met and Unmet Needs for Specialized Housing Features by Age Group
 
% Partially
Met
Need
% Fully
Unmet
Need
% Fully
Met
Need
% Total
Who
Require
Number
Total Who
Require
Working age
14%
36%
50%
100%
218,030
Seniors
9%
18%
73%
100%
280,800
Source: PALS, 2001

Severity: Those with More Severe Disabilities Less Likely to Have Needs Met

As the severity of the disability increases, so does the likelihood of requiring some type of specialized housing feature (refer back to Chart 1.31). Among those who do require such features, increasing levels of severity are also associated with a greater rate of unmet need. We can see that 69% of those with mild/moderate disabilities who require specialized features have their needs fully met compared with 58% of those with very severe disabilities. This means that the total unmet need for those with very severe disabilities is 42% compared with 31% for those with mild/moderate disabilities. The greatest difference, however, seems to be in the rate of partially unmet/met need. (Table 1.16)

Table 1.16
Met and Unmet Needs for Specialized Housing Features by Level of Severity
 
% Partially
Met
Need
% Fully
Unmet
Need
% Fully
Met

Need
% Total
Who

Require
Number
Total Who

Require
Mild/Moderate
*
25%
69%
100%
153,020
Severe
11%
26%
63%
100%
173,280
Very Severe
15%
26%
58%
100%
172,530
Source: PALS, 2001
* Percentage cannot be released due to low sample size.

Disability Type

Some disability types are associated with a higher rate of unmet need. Among those with a psychological disability who require some type of specialized housing feature, for example, half have an unmet need (31% have a completely unmet need). Similarly, among those with a developmental disability who require some type of specialized housing feature, 45% have an unmet need. (Table 1.17) As summarized in Table 1.12 earlier, neither of these types is associated with the highest rates of requiring such features to begin with; and neither contributes in a particularly large way to the overall requirement in terms of sheer numbers. However, these findings tend to suggest that there may be some type of barrier facing individuals with these disabilities types when they do require something.

Table 1.17
Met and Unmet Needs for Specialized Housing Features by Disability Type
  % Partially
Met

Need
% Fully
Unmet

Need
% Fully
Met
Need
% Total
Who
Require
Number
Total Who
Require
Agility 11% 25% 64% 100% 448,430
Hearing 9% 24% 67% 100% 172,900
Learning *15% 25% 60% 100% 70,390
Mobility 11% 25% 64% 100% 464,570
Sight 13% 25% 62% 100% 138,870
Speech *16% 23% 61% 100% 89,320
Memory *9% 23% 68% 100% 92,460
Developmental *20% 25% *55% 100% 12,780
Pain 11% 28% 61% 100% 381,110
Psychological *19% 31% 50% 100% 90,820
Source: PALS, 2001
* Percentage cannot be released due to low sample size.