Modern-Day Accessibility: Ushering in a New Era of Inclusivity with Universal Changing Tables
It’s been 35 years since the Americans with Disabilities Act passed in 1990. Since then, accessible parking, grab bars, ramps, and large bathroom stalls have become the norm. While these strides are commendable, they are not all-encompassing. In fact, it’s estimated that millions of Americans, about 4% of the adult population, are absent from society because of one basic need: accessible toileting.
These individuals are adults and older children with disabilities, the elderly, and veterans who rely on adult diapers daily. Access to a large restroom on its own can’t accommodate an adult-sized diaper change. Unfortunately, many caregivers have reported that they’ve resorted to using a dirty restroom floor or sacrificed privacy in the trunk of a car in a time of great need.
The good news is that these challenges are easily remedied with the installation of universal changing tables (UCTs). UCTs offer caregivers and their loved ones a clean, safe, dignified space to take care of toileting needs, and enjoy the public spaces available to everyone.
UCTs are available in a range of styles, materials, and sizes, some of which can accommodate up to 500 pounds. They can be mounted to existing walls, installed as part of a renovation project, or incorporated into new building construction. No matter your situation or budget, there’s a solution for your building.
Dollars and Cents
In addition to logistics, you may be wondering about the cost of UCTs and how they fit into your budget. National advocacy groups such as Inspired Access and Changing Spaces are making it easier than ever for architects, building owners, construction workers, and facility managers like you to obtain grant money. UCT manufacturers also understand the challenges that costs present and offer a variety of options that meet your budget without compromising quality.
Functional Features that Make Sense
There are a number of options for UCTs on the market. Let’s look at the safety requirements outlined in the International Building Code, ICC A117.1 - 2017, Section 613 “Adult Changing Stations”:
- Supports user weight not less than 400 pounds
- Height-adjustable from 17 to 38 inches
- At least 70 inches long
- At least 30 inches wide
- A side rail that can fold up and down, and locks in place when folded up
Most UCTs are made of stainless steel, ABS plastic, or wood with stainless steel, with plastic or vinyl padded surfaces. For tables made of commercial-grade ABS plastic, I recommend choosing a UCT with IK10 durability made for public spaces, and an IPX6 water ingress rating for cleaning. Smooth tables, without grooves or cracks where bacteria can live, are ideal as hygiene is of utmost importance.
Powered, height-adjustable UCTs are preferred for the comfort and safety of both the caregiver and user, ensuring the right height and a stable surface for changes. A static table, by contrast, can be challenging for a caregiver who needs to lift an adult or older child onto the table. Features such as an automatic safety stop, which stops operation and reverses direction if it detects an obstruction, such as a wheelchair, is a beneficial feature. Additional options for the bathroom include ceiling and wall-mounted lifts.
Consider Style, Too
When installing a UCT, you are sending the message that your company or facility truly cares about its visitors or guests. With that in mind, I encourage you to look at a variety of tables and choose the option that fits your aesthetic. Sleek and sophisticated? Consider a stainless-steel table. Casual and high traffic? Consider commercial-grade ABS. Worried about installation in an existing space? Consider a wall-mounted unit that requires only three studs. Not sure where to begin? Look for a table made in the USA. You can always consult a knowledgeable UCT manufacturer to help you choose, too.
UCTs are Popping Up Everywhere
Museums, libraries, community centers, sports stadiums, and retail establishments are just some of the facilities that have begun installing UCTs. Excitingly, a bipartisan Congressional act in 2024 also requires that all major U.S. airports have UCTs in every terminal by 2030. Changing Spaces has created an interactive map to make it easy for caregivers to find a UCT while planning an outing or out on the road. I encourage you to look at this map to see what facilities, like yours, have been through the installation process and can share results and learnings.
Accessibility Is in Your Hands
In closing, I’d like to stress that you have the ability to effect change by insisting on incorporating a UCT into your facility. I’ve seen the look of surprise on facility owners’ faces when they realize just how easy this process can be. I’ve seen facilities upgrade accessible restrooms in less than two hours from start to finish. I’ve seen the relief and gratitude of caregivers and their loved ones who know they have a safe, clean, dignified space if they need it. I can assure you that the results of your efforts will be recognized and appreciated, and the impact immeasurable.
