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Housing and Indigenous disability: lived experiences of housing and community infrastructure PDF

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PEER REVIEWED Housing and Indigenous disability: lived experiences of housing and community infrastructure FOR T HE A U T H ORED BY nailartsuA gnisuoH Elizabeth Grant dna nabrU R hcraese Ietutitsn The University of Adelaide George Zillante PU B LI C A T I O N DATE The University of Adelaide Amit Srivastava June 2017 The University of Adelaide DOI Selina Tually The University of Adelaide doi:10.18408/ahuri-3103001 Alwin Chong The University of Adelaide Authors Elizabeth Grant The University of Adelaide George Zillante The University of Adelaide Amit Srivastava The University of Adelaide Selina Tually The University of Adelaide Alwin Chong The University of Adelaide Title Lived experiences of housing and community infrastructure among Indigenous people with disability ISBN 978-1-925334-47-0 Format PDF Key words Editor Anne Badenhorst AHURI National Office Publisher Australian Housing and Urban Research Institute Limited Melbourne, Australia DOI 10.18408/ahuri-3103001 Series AHURI Final Report; no. 283 ISSN 1834-7223 Preferred citation Grant, E., Zillante, G., Srivastava, A., Tually, S. and Chong, A. (2017) Lived experiences of housing and community infrastructure among Indigenous people with disability, AHURI Final Report No. 283, Australian Housing and Urban Research Institute, Melbourne, http://www.ahuri.edu.au/research/final- reports/283, doi:10.18408/ahuri-3103001 i AHURI AHURI is a national independent research network with an expert not-for-profit research management company, AHURI Limited, at its centre. AHURI has a public good mission to deliver high quality research that influences policy development to improve the housing and urban environments of all Australians. Through active engagement, AHURI’s work informs the policies and practices of governments and the housing and urban development industries, and stimulates debate in the broader Australian community. AHURI undertakes evidence-based policy development on a range of issues, including: housing and labour markets, urban growth and renewal, planning and infrastructure development, housing supply and affordability, homelessness, economic productivity, and social cohesion and wellbeing. ACKNOWLEDGEMENTS This material was produced with funding from the Australian Government and state and territory governments. AHURI Limited gratefully acknowledges the financial and other support it has received from these governments, without which this work would not have been possible. AHURI Limited also gratefully acknowledges the contributions, both financial and in- kind, of its university research partners who have helped make the completion of this material possible. Additional in-kind support was provided by the School of Architecture and Urban Design and the Centre for Housing, Urban and Regional Planning (CHURP), The University of Adelaide. We would like to thank the following organisations and individuals who have been generous with their time and in sharing information: the First Peoples Disability Network (FPDN) Australia, particularly Gayle Rankine and Damian Griffis; the residents of Yalata community, the board and staff of Yalata Community Council, and Yalata Community Inc., especially Maureen (Mima) Smart OAM, Russell Bryant, Dora Queama and Greg Franks; the board and staff of Tullawon Health Service Inc., in particular, Joanne Badke, Patricia Miller and Luke Badke; the board, staff and clients of the Ceduna Koonibba Aboriginal Health Service; the residents of Point Pearce; the board and staff of the Point Pearce Aboriginal Community Council, particularly John Buckskin, Graham Power and Tristan Power; the staff of the Yorke Peninsula Aboriginal Health Service; participants from the Geelong Region, including the board and staff at Wathaurong Aboriginal Co- operative, in particular, Kym Monohan, Liz Abrahams, Sandy Manning and Karen Anderson; the staff at the National Disability Insurance Agency/Scheme (NDIA/NDIS) in Geelong, especially Liam O’Hagan and Gerard Corbett; and staff from Housing SA, especially Marcus Richards. The members of the policy advisory committee were generous with their time and we would like to thank Trevor Buzzacott (Department for Communities and Social Inclusion), Olive Bennell (Anglicare), Christopher Charles (Aboriginal Legal Rights Movement), Natalie Hann (Department of the Prime Minister and Cabinet), Rod Jackson (Wathaurong Aboriginal Co-operative), in addition to previously mentioned individuals from FPDN and Housing SA. Professor Justin Beilby and Professor Andrew Beer have been key members of the research team, providing critical commentary. Our thanks also to Julia Law (CHURP) for producing Figure 2 and Dr Cecile Cutler (CHURP) for editing assistance. ii DISCLAIMER The opinions in this report reflect the views of the authors and do not necessarily reflect those of AHURI Limited, its Board or its funding organisations. No responsibility is accepted by AHURI Limited, its Board or funders for the accuracy or omission of any statement, opinion, advice or information in this publication. Important information for people with disability and their families The findings presented in this report are of a general nature. They do not constitute legal or financial advice and should not be relied upon as such. People with disability and families considering investment in shared ownership housing are strongly encouraged to seek independent financial advice based on their personal and financial circumstances. AHURI JOURNAL AHURI Final Report journal series is a refereed series presenting the results of original research to a diverse readership of policy-makers, researchers and practitioners. PEER REVIEW STATEMENT An objective assessment of reports published in the AHURI journal series by carefully selected experts in the field ensures that material published is of the highest quality. The AHURI journal series employs a double-blind peer review of the full report, where anonymity is strictly observed between authors and referees. COPYRIGHT © Australian Housing and Urban Research Institute Limited 2017 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, see http://creativecommons.org/licenses/by-nc/4.0/. iii CONTENTS LIST OF TABLES ......................................................................................................VIII LIST OF FIGURES ...................................................................................................... X ACRONYMS ............................................................................................................... XI EXECUTIVE SUMMARY .............................................................................................. 1 1 INTRODUCTION ................................................................................................. 5 1.1 Study aims ........................................................................................................... 6 1.2 Key research questions ........................................................................................ 7 1.3 Method ................................................................................................................. 8 1.4 The language of ‘disability’: a research and policy framework .............................. 9 1.4.1 Disability ..................................................................................................... 9 1.4.2 Appropriate housing .................................................................................. 11 1.4.3 Housing quality ......................................................................................... 12 1.4.4 Community infrastructure .......................................................................... 12 1.4.5 Lived experience ....................................................................................... 13 1.4.6 Terms relating to housing design .............................................................. 13 1.5 Report structure ................................................................................................. 14 2 HOUSING INDIGENOUS AUSTRALIANS WITH DISABILITY IN AN ERA OF DISABILITY SERVICES REFORM .............................................................. 15 2.1 Introduction ........................................................................................................ 15 2.2 Disability, disability reform and Indigenous Australians ...................................... 16 2.2.1 Disability reform ........................................................................................ 17 2.2.2 The National Disability Insurance Scheme (NDIS) .................................... 18 2.3 Disability and housing ........................................................................................ 21 2.4 The NDIS and housing ....................................................................................... 24 2.5 The NDIS, housing and Indigenous people with disability .................................. 26 2.6 Culturally responsive housing for Indigenous people with disability .................... 27 2.7 Summary ........................................................................................................... 33 3 UNDERSTANDING LIVED EXPERIENCES OF HOUSING AND COMMUNITY INFRASTRUCTURE ................................................................... 35 3.1 Methodological approach ................................................................................... 36 3.1.1 Setting the context .................................................................................... 36 3.1.2 Lived experiences of housing and community infrastructure ..................... 36 3.1.3 Assessments of housing and community infrastructure ............................. 37 3.1.4 Data analysis ............................................................................................ 43 3.1.5 Methodological limitations ......................................................................... 43 4 CASE STUDY: YALATA ................................................................................... 45 4.1 Introduction ........................................................................................................ 45 4.1.1 Health and disability .................................................................................. 46 4.2 Housing and community infrastructure in Yalata ................................................ 48 4.2.1 Housing design for disability ..................................................................... 49 iv 4.2.2 Community housing stock ......................................................................... 50 4.2.3 Independent living units ............................................................................ 51 4.2.4 Other accommodation ............................................................................... 52 4.2.5 Community infrastructure .......................................................................... 52 4.3 Assessments of housing and community infrastructure ...................................... 53 4.3.1 House one ................................................................................................ 53 4.3.2 House two ................................................................................................. 53 4.3.3 House three .............................................................................................. 54 4.3.4 House four ................................................................................................ 54 4.3.5 Independent living unit .............................................................................. 54 4.3.6 Community infrastructure .......................................................................... 55 4.3.7 Analysis of housing assessments ............................................................. 56 4.4 Lived experiences of housing and community infrastructure in Yalata ................ 59 4.4.1 Mobility ..................................................................................................... 61 4.4.2 Movement away from Yalata ..................................................................... 62 4.4.3 Community housing .................................................................................. 63 4.4.4 Independent living units ............................................................................ 66 4.5 Preferred models of housing for people with disability: Yalata ............................ 68 4.6 Summary ........................................................................................................... 69 5 CASE STUDY: POINT PEARCE ....................................................................... 71 5.1 Introduction ........................................................................................................ 71 5.1.1 Health and disability .................................................................................. 71 5.2 Housing and community infrastructure in Point Pearce ...................................... 72 5.2.1 Community housing .................................................................................. 73 5.2.2 Supported accommodation ....................................................................... 74 5.2.3 Disability housing at Point Pearce ............................................................. 74 5.2.4 Community infrastructure .......................................................................... 74 5.3 Assessment of housing and community infrastructure ........................................ 74 5.3.1 Introduction ............................................................................................... 74 5.3.2 House one ................................................................................................ 75 5.3.3 House two ................................................................................................. 75 5.3.4 House three .............................................................................................. 75 5.3.5 House four ................................................................................................ 76 5.3.6 House five ................................................................................................. 76 5.3.7 Community infrastructure .......................................................................... 76 5.3.8 Analysis and summary of housing assessments ....................................... 77 5.4 Lived experiences of housing and community infrastructure in Point Pearce ..... 79 5.4.1 Mobility ..................................................................................................... 81 5.4.2 Returning to Point Pearce ......................................................................... 82 5.4.3 Specific housing concerns ........................................................................ 83 5.5 Preferred models of housing for people with disability: Point Pearce .................. 85 v 5.6 Summary ........................................................................................................... 85 6 CASE STUDY: GEELONG ................................................................................ 87 6.1 Introduction ........................................................................................................ 87 6.1.1 Health and disability .................................................................................. 87 6.2 Housing and community infrastructure in Geelong ............................................. 89 6.2.1 Public housing .......................................................................................... 89 6.2.2 Community infrastructure .......................................................................... 89 6.3 Assessments of housing .................................................................................... 90 6.3.1 House one ................................................................................................ 90 6.3.2 House two ................................................................................................. 90 6.3.3 House three .............................................................................................. 91 6.3.4 House four ................................................................................................ 91 6.3.5 House five ................................................................................................. 92 6.3.6 House six .................................................................................................. 92 6.3.7 House seven ............................................................................................. 93 6.3.8 Community infrastructure .......................................................................... 93 6.3.9 Analysis and summary of housing assessments ....................................... 94 6.4 Lived experiences of housing and community infrastructure in Greater Geelong 96 6.4.1 Basic amenities ......................................................................................... 98 6.4.2 Housing repairs and maintenance ............................................................. 98 6.4.3 Housing choice ......................................................................................... 99 6.4.4 Home modifications ................................................................................ 100 6.4.5 Safety ..................................................................................................... 101 6.4.6 Homelessness ........................................................................................ 101 6.5 Preferred models of housing for people with disability: Geelong ...................... 102 6.6 Summary ......................................................................................................... 103 7 DISCUSSION AND CONCLUSIONS ............................................................... 104 7.1 Health and disability ......................................................................................... 105 7.1.1 Prevalence of disability ........................................................................... 105 7.1.2 Types of disabilities ................................................................................. 106 7.1.3 Indigenous constructs of disability ........................................................... 106 7.2 Housing............................................................................................................ 108 7.2.1 Location of housing ................................................................................. 108 7.2.2 Access to housing ................................................................................... 109 7.2.3 The condition of Indigenous housing ....................................................... 110 7.2.4 Housing modifications ............................................................................. 110 7.3 The design of housing for Indigenous people with disability ............................. 112 7.3.1 Incoherence in design ............................................................................. 112 7.3.2 The design of specialist accommodation ................................................. 112 7.3.3 Indigenous people with cognitive and/or psychosocial disability .............. 113 7.4 Indigenous people with disability, housing and the NDIS ................................. 114 vi 7.5 Key research recommendations ....................................................................... 115 7.5.1 General recommendations for housing and the housing sector ............... 116 7.5.2 Recommendations for community infrastructure ..................................... 116 7.6 Policy recommendations .................................................................................. 117 REFERENCES ......................................................................................................... 118 APPENDICES ........................................................................................................... 135 Appendix 1: ABS definition of ‘core activity limitation’ ................................................ 135 Appendix 2: ABS table of limitations, restrictions, activities and tasks ....................... 136 Appendix 3: Guidelines in the National Indigenous housing guide relevant to people with disability .................................................................................................... 138 vii LIST OF TABLES Table 1: Telling it like it is findings: Aboriginal Disability Network NSW ..................... 28 Table 2: Examples of key design elements and attributes to inform housing for Indigenous people with disability (from the checklist developed by Walls, Millikan et al. 2013) ......................................................................................................... 31 Table 3: Best practice approaches to constructing and maintaining houses in Indigenous communities (from Pholeros and Phibbs 2012) ................................ 32 Table 4: Housing as a social determinant of Indigenous health (from Ware 2013) .... 33 Table 5: Core activity need for assistance by age and sex, Yalata, 2011 .................. 47 Table 6: Count of occupied and unoccupied private dwellings and persons in occupied private dwellings, Yalata, 2011 ........................................................................... 50 Table 7: Dwellings by number of bedrooms, Yalata, 2011 ......................................... 50 Table 8: Household composition by number of persons present on census night, Yalata, 2011 ....................................................................................................... 51 Table 9: Compliance with NCC recommendations of houses visited, Yalata ............. 57 Table 10: Compliance with NIHG guidelines of houses visited, Yalata ...................... 57 Table 11: Housing compliance with other guidelines and recommendations, Yalata . 58 Table 12: Age and sex of study participants, Yalata .................................................. 60 Table 13: Impairment types reported by study participants, Yalata ............................ 60 Table 14: Other health conditions reported by study participants, Yalata .................. 61 Table 15: Primary housing being used by study participants, Yalata ......................... 61 Table 16: Level of satisfaction with community housing of study participants, Yalata 63 Table 17: Number of people occupying housing with study participant, Yalata .......... 64 Table 18: Basic housing amenities in community housing, Yalata ............................. 65 Table 19: Household composition by number of persons present on Census night, Point Pearce, 2011 ............................................................................................ 73 Table 20: Compliance with NCC recommendations of houses visited, Point Pearce . 78 Table 21: Compliance with NIHG guidelines of houses visited, Point Pearce ............ 78 Table 22: Compliance with other guidelines and recommendations, Point Pearce .... 79 Table 23: Age and sex of study participants, Point Pearce ........................................ 80 Table 24: Impairment types reported by study participants, Point Pearce ................. 80 Table 25: Other health conditions reported by study participants, Point Pearce ........ 81 Table 26: Level of satisfaction with housing of study participants, Point Pearce ........ 82 Table 27: Basic housing amenities, all housing types, Point Pearce ......................... 83 Table 28: Number of people occupying housing with study participant, Point Pearce 83 Table 29: Core activity need for assistance by age and sex, City of Greater Geelong, 2011 ................................................................................................................... 88 viii Table 30: Compliance with NCC recommendations of houses visited, Greater Geelong ............................................................................................................. 94 Table 31: Compliance with NIHG recommendations of houses visited, Greater Geelong ............................................................................................................. 95 Table 32: Compliance with other guidelines and recommendations, Greater Geelong .......................................................................................................................... 95 Table 33: Age and sex of study participants, Geelong ............................................... 96 Table 34: Impairment types reported by study participants, Greater Geelong ........... 97 Table 35: Other health conditions reported by study participants, Greater Geelong .. 97 Table 36: Number of people occupying housing with study participant, Greater Geelong ............................................................................................................. 97 Table 37: Level of satisfaction with housing of study participants, Geelong ............... 98 Table 38: Basic housing amenities, all housing types, Greater Geelong ................... 98 ix

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