OccupationalTherapy in

HousingBuilding on Firm Foundations

Edited by

SYLVIA CLUTTON Dip MCS, Dip COT, BCA, DASEd, Certed Ed

JANI GRISBROOKE Dip COT, BA(Hons), MScUniversity of Southampton

and

SUE PENGELLY Dip COT, BA(Hons), MBA, PGCE, ILTMUniversity of Cardiff

WW H U R R P U B L I S H E R S

L O N D O N A N D P H I L A D E L P H I A

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Occupational Therapy in HousingBuilding on Firm Foundations

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OccupationalTherapy in

HousingBuilding on Firm Foundations

Edited by

SYLVIA CLUTTON Dip MCS, Dip COT, BCA, DASEd, Certed Ed

JANI GRISBROOKE Dip COT, BA(Hons), MScUniversity of Southampton

and

SUE PENGELLY Dip COT, BA(Hons), MBA, PGCE, ILTMUniversity of Cardiff

WW H U R R P U B L I S H E R S

L O N D O N A N D P H I L A D E L P H I A

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Contents

Contributors viiPreface xi

Chapter 1 1

The theory basesJani Grisbrooke

Chapter 2 21

The assessment processFrances Heywood

Chapter 3 43

The social model and clinical reasoningSue Pengelly

Chapter 4 64

Housing: the users perspectiveSally French and John Swain

Chapter 5 83

Conveying information through drawingPeter Ashlee, Sylvia Clutton, Sue Pengelly and Jon Cowderoy

Chapter 6 109

Access standards: evolution of inclusive housingParaig OBrien

v

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Chapter 7 139

Housing adaptations and community careClare Picking

Chapter 8 166

Ergonomics and housing Carla Benedict, Samantha Pooley and Jani Grisbrooke

Chapter 9 194

Evaluation for service users and service performanceSue Pengelly and Andrew Winfield

Chapter 10 219

Smart technology at homeKathryn McNab

References 240Index 255

Occupational Therapy in Housing: Building on Firm Foundationsvi

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Contributors

Peter Ashlee is an experienced OT in Social Services. He has a back-ground in the building industry and had previous architectural training.Peter is a Fieldwork Educator and is interested in the environmental effecton clients with disability, generously imparting his knowledge of relevanthousing issues to student OTs.

Carla Benedict has worked in the local authority setting for 18 years.During this period, she completed further training in moving and han-dling and ergonomics and was Moving and Handling Specialist OT forHampshire for three years. She is presently a senior practitioner, combin-ing this specialist knowledge with housing adaptation work.

Sylvia Clutton, former Chair of COTSSIH and Vice Chairman of theCouncil of the COT, has worked in general and community health settingsand managed OT services in Social Services. She works as a ConsultantOT and is commissioned to provide medico-legal/judicial review/manualhandling risk assessment training and housing design and redesign.

Jon Cowderoy is an experienced housing liaison officer based in the OTdepartment. He has considerable experience of working with computer-aided design and imparting knowledge to student OTs.

Sally French works as an Associate Lecturer at the Open University andis a freelance researcher and writer. She has a particular interest inDisability Studies and has written and researched widely in this area.

Jani Grisbrooke has worked as an OT in health, local authority and edu-cation. She is currently working as a lecturer in occupational therapy forthe University of Southampton and as a specialist OT in housing betweenHousing and Social Services Departments of Southampton City Council.

vii

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Occupational Therapy in Housing: Building on Firm Foundationsviii

Frances Heywood is a Research Fellow at the School for Policy Studies,University of Bristol, who learnt a user-centred perspective through work-ing for an inner-city residents federation. She has researched widely inthe field of adaptations, in partnership with occupational therapists,housing officers and disabled research colleagues.

Kathryn McNab qualified as an OT in 1985. Her first posts were hospitalbased, but the majority of her experience has been gained within localauthority. She is currently a Team Leader with the Health and Social CareTeam, a varied and demanding role including a project to incorporatesmart technology into housing.

Paraig OBrien (COTSSIH Chair) has a special interest in disability designresearch, completing an MA in this subject at London Guildhall University.He undertook research on assistive technologies in Oxford and morerecently was seconded from the University of Ulster to assist governmentagencies reviewing housing adaptations services in Northern Ireland.

Sue Pengelly qualified as an OT in 1986, following which she worked inhealth before specialising in housing, working in both the Vale ofGlamorgan and Cardiff Social Services. She is currently a Lecturer in occu-pational therapy at Cardiff University.

Clare Picking has worked mainly in Social Services Departments sincequalifying in 1970 and as an independent practitioner for the past fewyears. She completed an MSc in Rehabilitation and Research and has pub-lished work on her thesis about professional roles in home adaptations inthe British Journal of Occupational Therapy.

Samantha Pooley qualified as an OT in 2000. Following postgraduateeducation, her clinical practice has focused on complex moving and han-dling cases. She is now working as a Specialist OT for Hampshire SocialServices. Ergonomic design and suitability of environments for heavierpeople has become a special interest for her as community bariatricneeds increase.

John Swain is Professor of Disability and Inclusion at the University ofNorthumbria. His research interests include the analysis of policy andprofessional practice from the viewpoints and experiences of disabledpeople. He has written and researched widely in this area.

Andrew Winfield has worked in local government for more than twentyyears. He spent six years working in benchmarking with Welsh local gov-ernment focusing on performance measurement and comparison,

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developing practice standards, and training and applying the principles ofperformance management. He has recently taken up a post with TorridgeDistrict Council in north Devon.

Contributors ix

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Preface

This book