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Thursday, September 9, 2010
Living with MS
All Dressed Up And No Way To Get Out?
When hiring a contractor for home modifications that are going to help you live more independently, it is important for the modifications to work for you. There are many guides to modification, including the Americans with Disabilities Act Accessibility Guidelines (ADAAG), the Fair Housing Act Accessibility Guidelines, and the American National Standards Institute (ANSI). There are also some very helpful resources on line such as: the IDEA Center at SUNY Buffalo and Adaptive Environments. It is important to expect a knowledgeable contractor to quote you a fair price and stick to it. Home modification work takes skill. Often contractors may overlook modifications that would work for you.

A contractor may believe that it is sufficient to build using only the ANSI standards, but it’s important to note that the ANSI standards are the minimum standard. You may need modifications that differ from the minimum standards suggested under ANSI, ADAAG, or the Fair Housing Act. Show your contractor what it is like for you on your worst type of mobility days. Show your contractor what mobility aids you use in each part of your home. If you use a hoyer lift, make sure the contractor knows that before he/she submits a proposal to you. As much information you can give the contractor regarding how you maneuver around your home, the better. This information will guide what modification will be done in your home. There are plenty of products that say they are approved under the Americans with Disabilities Act (ADA) or a contractor may be following ANSI standards, but that work may not be right for you. Show your contractor how far you can reach your arms forward, to the side, or up. Ask for a copy of the plans and materials that will be used in your project. Any good contractor will give you this information. Ask lots of questions, such as, what long-term care will I need to put into the material? What does the material look like? Does this material become slippery when it is wet? Does this material hold up in extreme hot or cold weather conditions? Make sure you understand what the contractor is going to do to your home before the work begins.

Contractors, like other professionals, are often busy. It is a good idea for you to write out a contract to use with your contractor. State in the contract the work that is to be completed, the time frame the work will be completed in, and the payment schedule. Larger contracting businesses may do all of the work, and expect payment at the end. Some contractors will expect payment before the work begins.

A suggested payment schedule is 50% of the total cost before the work begins, 40% upon completion, and 10% after you fully inspect the work. Your inspection process can range from having someone else come and look at the work, to you spending a couple of days in the home after the modifications are completed. This will give you a chance to notice any mistakes that have been made, and the leverage of holding a final payment so the contractor will have to come back and complete the job before he/she is paid.

Remember, all the work done in your home is up to you. You control what is to be used and in what way. Do not expect the contractor to understand your disability, or how that affects your home access modification needs. If you are not sure what home access modifications would work for you, check with your local Independent Living Center. Your local Independent Living Center may offer home access modification assessments free of charge. Another resource may include your physical or occupational therapist. Home access modifications vary from individual to individual. Each person’s disability and living arrangement may call for different types of modifications to happen. Remember to ask lots of questions and do your research before making access modification changes in your home.

Some helpful resources on home modifications include:

Federal Access Board & the Americans with Disabilities Act Accessibility Guidelines (ADAAG)

Adaptive Environments

AARP

Center for Inclusive Design and Environmental Access

Article written by:
Sarah D. Wendell
Home and Community Access Program
Manager, Vermont Center for Independent Living
MS Connection .
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© 1999-08   Please familiarize yourself with our  Disclaimer  prior to accessing any resources on this website. As always this material is provided as general educational information. It is not intended as advice for individual patients. Comments are based on professional experience and do not represent therapeutic recommendation or prescription. Please contact your physician for specific recommendations.