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Cognitive Impairment, Mental Health and Transport: Design with Everyone in Mind
OECD Publishing, Feb 2009, Pages: 28
Cognitive impairment affects a large and growing number of people and encompasses a wide range of conditions from autism to age-related dementia and stroke. Mental health problems also impact large numbers of people, with one in four individuals affected at some point in their lives.
For people both with cognitive impairment and those with mental health problems, using public transport can be a traumatic and challenging experience, and for many, simply impossible.
While much is being done to improve vehicles and infrastructure to meet the needs of people with physical or sensory impairments, the issues of cognitive impairment and mental health are largely neglected. There is a significant untapped transport market for people who currently lack the confidence or understanding to make journeys.
A limited amount of research has been conducted in recent years to enhance understanding of these issues and to suggest ways of overcoming the transport problems that people with cognitive impairment and mental health problems face. Many of the solutions are simple and low-cost, and by following the principles of universal design, can also produce benefits for the wider travelling public.
The practical steps that can improve people’s ability to use public transport include training of transport staff and familiarisation of people with cognitive impairment or mental health problems with the transport system to help build or restore their confidence.
Information is also key, and traditional ways of presenting timetable and other transport information need to be re-considered. Other key factors include the use of both audible and visual information and simple and clear signage. Physical design features and the presence of staff can also help to build confidence.
This report is intended to help those who plan, design and run transport systems and transport infrastructure to understand the issues that affect this significant proportion of the population and, in so doing, to find practical ways to improve their services and facilities for the travelling public as a whole.
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