Tuesday, November 29, 2011

Changing Perceptions of Disability

At this moment in time, it goes without saying that museums are obligated to serve all potential visitors, whoever they may be.  Over 25 years after Museums for a New Century, the museum profession is in the process of a major paradigm shift.  Accessibility has become a modern hallmark of museum program development, not to mention a legal requirement for the physical building.

The word “changing” in the title above is meant in two ways; it is a descriptor, but also an active verb.  As museum professionals, we can observe that our culture’s attitudes toward disability are shifting, but we must also be leading agents in that change.  There are an estimated 54.4 million people with disabilities living in America today; if museums are to serve these present and future visitors, we would do well to start by listening to their voices.

The long-standing perception of disability has been solely as an individual medical condition.  In other words, disability as a concept has been relegated to the particular people who live with it every day.  Attitudes toward disabled people have ranged from pity and disgust to misunderstanding to awe and admiration.  

However, since the 1980s a new model of disability has emerged from the field of disability research as well as from advocates for disabled people.  That idea is the social model of disability, the perspective that disability is a result of culturally-constructed barriers to participation in society.  It is a frame of mind that gives all of us the responsibility for not just inclusion but universal access.

When you stop and think about it, disability as a social construct (rather than a medical setback) makes sense.  After all, everyone has their own way of going about the business of life.  The fact that some people see with a white cane, hear with a computer screen, or walk with wheels is simply an illustration of different ways to exist.  Any group of people will have broad variations in learning styles and interests, tastes in food or entertainment, and modes of communication.  The more we expand the flavors of museum programs that we offer, the more people we will reach and, most importantly, the more deeply we will reach them.

Any museum program can benefit from being translated into multiple learning channels.  Even visitors who do not identify as having a disability might be more engaged by a program that involves visuals, sound, tactile elements and discussions as opposed to just one of those methods.  If we approach the development of programs by thinking about removing barriers to any of our visitors participating, we will be on the right track.

Another thing the museum profession can learn from the disability research field is the concept of emancipatory practice.  Under the outdated perception of people with disabilities as suffering from an ailment, research about such people was very one-sided.  The researcher held most of the power, and the research subject simply became a source of experience-based information.  The research subject did not gain any benefit from the interaction, while the researcher was at liberty to select the results that served the chosen outcomes of the project.  

Conversely, the emancipatory research model turns the process into a partnership and thus a two-way exchange of information.  The people with disabilities are far more than research subjects; they direct the objectives of the project and share both power and ownership of outcomes.  With a bilateral flow of information and shared power, both parties in the partnership can learn more than they otherwise would and can adapt the research agenda to suit the needs of both sides.  Most importantly, the people with disabilities can directly benefit from the findings of the research.

Museums can use the emancipatory research model by making not just the museum’s programs but the development process more participatory.  Creating partnerships with visitors who live with disabilities is the best way to find out how to make the museum both physically and intellectually accessible and personally interesting to these people.

Throughout the museum world, the trend is already toward including more user-generated content in exhibits, programs, and websites.  The idea that museum programs should be created with audiences instead of for them is gaining universal acceptance.  These developments should be constantly brought into the planning of exhibits and programs that represent all people, with or without disabilities.

The following five posts will each focus on one disability. They will address how museums can best serve audiences who have visual impairments, hearing difficulties, mobility challenges, cognitive impairments (specifically people with Alzheimer’s Disease), and learning disabilities. Each entry will provide some background on the disability, things to consider regarding that audience, case studies of museums that are successfully addressing the issue, and an exploration of what more can be done.

Sources
Re-Presenting Disability: Activism and Agency in the Museum  Richard Sandell, Jocelyn Dodd and Rosemarie Garland-Thomson.  Routledge (London/New York) 2010 (Google Books link)

Visitors With Visual Impairments

Background

Most of us rely on our vision almost exclusively, such that it’s nearly impossible to imagine getting around our lives without it.  Yet we have so many other ways of absorbing information about our world, and museums have the unique ability to present exhibits and programs that exercise the myriad senses.

Since the implementation of the Americans with Disabilities Act in 1980, museums have been fulfilling the basic requirements to provide accessibility for people with visual impairments.  However, a few museums are taking it much further and creating whole new programs for their visually-impaired patrons.  Here we will explore the needs of this particular audience and look at how some museums are serving these visitors.

Considerations

First, it is important to remember that there is a range of visual impairments, and thus museums should make their content accessible to visitors with low vision as well as those who are blind.  All aspects of a museum, from the physical building to the public programs, should be developed with universal comfort and accessibility as the goal.  

The following are a few ways museums can serve the needs of their visually-impaired visitors:

Exhibits with tactile elements:
- Touchable models of objects and artworks
- The chance to touch actual artworks while wearing gloves (made of a thin material so that textures can be felt through them)
- Versions of flat artworks with added textures, layers, or raised outlines
- Touchable maps of the museum, galleries, and exhibits
- Interactive components and demonstrations with verbal instructions

Audio components:
- Spoken tours with audio enhancement devices (earpieces that connect to the tour guide’s microphone)
- Verbal descriptions of artworks, exhibits, and other objects by trained museum personnel
- Portable audio or cell phone guides and tours
- Podcasts of museum programs and information
- Sound on video elements in exhibits, with either audible speakers or headphones
- Talking computer kiosks in galleries

Other considerations:
- Printed self-guides in large type and Braille
- Exhibit text panels with large font
- Bright lighting in all walkways, aisles, stairwells and doorways
- Clear walking paths free of obstacles
- Texture changes on the floor (such as carpet to wood) to indicate different areas of an exhibit or to identify audio components for visitors to find
- Exhibit furniture (display cases, kiosks) on the floor beneath any elements that protrude from the wall, such that a cane would hit them to indicate that the person should step aside
- Service animals allowed in all areas of the museum

If all exhibits and programs at the museum are built from the ground up with multi-sensory components, then their content will be more easily accessible to all visitors and all learning styles.

It is important to keep in mind that, while there is sometimes no substitute for the assistance of another human being, the museum’s goal should be to create galleries and programs that are independently navigable whenever possible.

Case studies

The Cummer Museum of Art and Gardens - Jacksonville, Florida

Since its inception over 50 years ago, the Cummer Museum has been serving its community through art and education.  Right from its home page, the museum states that its “Nationally recognized education programs serve adults and children of all abilities.”

One of the best-known education programs is Art Connections, described as “hands-on, interactive exhibits designed to raise visitors' understanding of the art… In Art Connections, it is possible to walk through a painting, create patterns through dance, make a collage, listen to a sculpture, or paint with a virtual paintbrush.”  The museum is home to a chapter of Very Special Arts, an international organization for people of all abilities.  The annual Very Special Arts Festival allows children to experience art through many different channels and participate in creative projects to make their own art.  

The museum also features a Women of Vision program, which brings together adults with visual impairments to study art in the collections.   Participants create their own pieces with sculpture, origami, painting and other media, and have the opportunity to write personal memoirs inspired by the museum’s collections.  Touch tours can be arranged by appointment, in which patrons can touch reproductions and original artworks from the collection.  The museum has other programs for visitors with autism or mobility impairments.  Clearly, the Cummer Museum has devoted great energy to serving all its patrons regardless of how they make their way through life.

Tactile Museum of Lighthouse for the Blind – Athens, Greece

Designed from the ground up to serve visitors with visual impairments, the Tactile Museum in Athens has been around since 1984.  The museum features replica models of Greek artworks from the country’s long artistic history, including sculptures, pottery, models of Greek buildings, and drawings with raised lines and layers.   The collection also includes works of art created by visually-impaired artists.  

Visitors can touch the collections with their bare hands and feel the differences in texture, style, and materials.  Sighted visitors are given masks so they can experience the museum as though they were blind.  The artworks are arranged in chronological order, allowing patrons to visualize the evolution of artistic styles in Greece.  

Information about each historical period is available in Braille and large print type.  Audio tours are available in both Greek and English.  However, the museum has no permanent staff and relies heavily on volunteers.  Visits in groups must be made by appointment.  Nevertheless, this museum is serving an important purpose in allowing all Greek citizens to personally experience their country’s artistic history.

Where do we go from here?

The art museums of the world have certainly made an effort to reach their visually-impaired visitors with touch tours, verbal descriptions, touchable replica models, interactive creative workshops, and other programs.  The next challenge seems to be making other types of museums—history, science, and natural history—more accessible to people with limited vision.  Many of these museums often already have interactive elements, but without verbal directions or auditory information these exhibit components are not independently usable by visitors with visual disabilities.  

What are some ways that science and history museums can alter their existing galleries, or build new ones, that are multi-sensory and accessible to all visitors?

Sources
The Cummer Museum of Art and Gardens
Tactile Museum of Lighthouse for the Blind

Visitors Who Are Deaf or Hearing-Impaired

Background

Almost 20% of Americans older than 11 experience some degree of hearing loss that affects their daily life.  That number is a bit staggering.  As museum professionals, we need to be aware that one fifth of our potential audience may need some help to hear the content we present to them.

It should be noted that the Deaf community (capitalization indicates a cultural identity, rather than the condition of being “deaf”) prefers using the word “deaf” over the phrase “hearing-impaired,” due to the negative implication of the latter.  Deaf culture has very specific values and a strong sense of identity; for people who were not born deaf, that culture can feel extremely exclusive and unwelcoming.  

A large part of the Deaf cultural identity, at least in America, centers around the use of American Sign Language.  While it is impossible to truthfully generalize a group of people, most of the Deaf community does not condone the use of cochlear implants or regular spoken communication, perceiving these things to be a rejection of the inborn way that deaf people experience the world.

However, because deaf and hearing-impaired people use a multitude of methods to function in society, from hearing aids to lip-reading to sign language interpretation, it is important that museums provide options that will serve the full range of hearing abilities.

Considerations

The most obvious way to give deaf people access to museum exhibits and programs is the use of printed text that visitors can read.  However, people with hearing impairments often use many other visual cues, such as facial expressions and movement in space, to grasp the meaning of what is being communicated.  Many hearing-impaired visitors will not want to simply read text to get information; they will prefer a more personal and interactive way of understanding and participating in museum programs or exhibits.

With that in mind, the following is a brief list of ways that museums can make their content accessible to people with all degrees of hearing loss:
- Provide written information in guides and exhibits
- Include captioning on any video or auditory components
- Have sign language interpretation available for tours and programs
- Hold events specifically for people with hearing loss so they can connect with others like themselves and develop their sense of community
- Make use of assistive listening devices, such as headphones that connect to a docent’s microphone during gallery talks and tours
- Create programs with multi-sensory components, so that information is presented in visual and tactile ways in addition to auditory explanations and discussion
- Put videos of sign-language programs on the museum’s website
- Make sign-language video guides that visitors can download to their mobile devices or borrow from the museum and view while in a exhibit

Case studies

Jumping off from that last item on the list, Catharine McNally has made a business out of creating exactly that type of video guide.  McNally has always loved museums but, as a lifelong deaf person, she realized that written materials were often the only form of interpretation that was offered to her.

As she said in an interview with Michael Janger for Abled Body, “I was visiting a museum in Washington, D.C., and the information desk handed me a pile of paper transcripts so I could follow along with the audio guide.  I went home and video recorded a version of the commentary in cued speech [mouth movements of speech combined with hand signals, or cues] as video clips, and then went back the next day and viewed it on my iPod.  It was a transformative experience for me.”  

McNally’s company, Keen Guides, creates and distributes video museum guides that can be downloaded onto Smart Phones.  Her goal is to make museums accessible in many ways, including foreign languages and multiple forms of visual communication.  She has partnered with organizations like public television and DC By Foot to create her video guides.  Keen Guides is also developing video versions of campus tours at schools like Gallaudet University, which is a federally-chartered college devoted to the education of deaf and hearing-impaired students.

Where do we go from here?

For museums, reaching visitors with hearing impairments is not as straightforward as it might first seem.  However, by working with the people we intend to serve, we can hear their specific needs and preferences for the form that interpretive materials and services will take.  How do we contact members of the Deaf community and create partnerships with them?  How do we embrace the ways that people with hearing impairments best function?  

Sources
Hearing Loss Association of America
Accessibility for the Deaf Community in Art Museums
Abled Body: Keen Guides

Visitors With Mobility Impairments

Background

The term “mobility impaired” refers to a wide spectrum of people—from someone missing a hand to a quadriplegic. Before we can discuss how museums can serve these audiences, we must first gain a basic understanding of some of the conditions resulting in impaired mobility. The following list is far from comprehensive.

Arthritis
An estimated 50 million Americans have arthritis; most of these are older adults, and as the population ages these numbers will only rise. The word “arthritis” means inflammation of the joints, and the condition can lessen a person’s ability to climb stairs, reach for objects and walk long distances. It can also inhibit their fine motor skills. These effects can be short-term or permanent.

Stroke
A stroke results from a blood clot or hemorrhage in the brain and can cause serious damage. One side of the body is affected and may become weak, paralyzed and/or hard to control.  There are often cognitive affects from a stroke as well. Rehabilitation is possible, but it is a lengthy process with no guarantee of complete success.

Missing Extremity
A person may lack an extremity at birth or may lose it because of an accident or disease. Many people with missing extremities have prosthesis or learn how to use the remaining portion of their limbs.

Multiple Sclerosis
MS is a disease of the central nervous system that affects approximately 400,000 Americans. According to the National MS Society, “MS can cause blurred vision, loss of balance, poor coordination, slurred speech, tremors, numbness, extreme fatigue, problems with memory and concentration, paralysis, blindness and more.” The problems can be constant or intermittent. The disease is unpredictable and no two cases are exactly alike.  However, certain environmental conditions, such as heat, are known to inflame the disease.

Muscular Dystrophy
This term refers to a group of over 30 degenerative muscular diseases.  These conditions cause loss of sensation or muscle control that often progress to the point where the person must use a wheelchair. The person’s mental facilities, however, remain intact.

Spinal Cord Injury
This condition currently affects more than 200,000 Americans with 10,000 more sustained every year due to car, work and sports accidents. The higher the point of injury along the spinal column, the more of the body it affects. People with spinal cord injuries may lose all or part of their sensation and muscle control. Muscle spasms and lack of control over bodily functions are also common.

Although some of the aforementioned conditions can result in cognitive disabilities as well, this post will focus on the needs of visitors who are solely mobility impaired.

Considerations

People with mobility impairments are the most visibly recognizable due to the assistive devices they often use (walkers, canes, crutches, wheelchairs, artificial limbs). Therefore, it might be the easiest to consider these people “different”. But, in some ways, people with mobility impairments might be one of the easiest segments of the disabled population for museums to serve. If no intellectual disability accompanies the mobility impairment (though this is sometimes the case), then the exhibit or program content is accessible to the visitor. Museums need only to make the spaces and objects accessible to patrons who may not be able to move without an assistive device or to grasp, turn or lift things such as interactive components and door handles. People with mobility impairments often have family members or friends accompanying them, but it is important to address the disabled visitor directly about their needs instead of asking their companion.

When making an exhibition or building fully accessible to people with mobility impairments, keep in mind that visitors using any assistive device need to be able to navigate the museum easily and experience it fully. Alternatives to stairs and amenities such as companion care restrooms should be clearly marked on signs and maps. All employees should be able to direct a visitor to accessible pathways, entrances or exits and facilities. Stairs should be smooth but not slippery and without a lip. Elevators should be easily accessible with minimal gaps in the threshold. Curbs should have cut areas to allow visitors using an assistive device to easily access the building. Avoid slippery or uneven surfaces and steep grades. Any area with a ramp should also include stairs, which are easier to navigate for people using crutches or a cane.

According to the Smithsonian Guidelines for Accessible Design, all doorways should be at least 32 inches (preferably 36 inches) wide to allow a visitor in a wheelchair to enter. Any two-way hallways should be 60 or more inches wide to allow two wheelchairs to pass one another. A space of 30 X 48 inches is required anywhere a wheelchair would want to stop in front of a display, and visitors in wheelchairs require an open space of 60 inches in diameter or a 36 inch T-shaped area to turn around.

Object placement is a concern that greatly affects the experience of visitors with mobility impairments. Items, labels, rails and cases cannot be too high above the ground or a visitor in a wheelchair (or a small child, for that matter) would not be able to see these things comfortably. There is an easy medium height that allows all visitors to experience the objects. Some examples of measurements include:

- Small items should be placed no higher than 40 inches off the ground
- The top of cases and railings should be no higher than 36 inches
- Wall labels should be mounted between 48 and 67 inches (ideally 54 inches) above the floor.

- When mounting items on the floor, make them easily visible so that visitors do not trip.

The placement of interactive components is another issue. When a space is designed to allow a foreword approach in a wheelchair, place interactives or controls 48 to 15 inches (ideally 48) above the ground. When a parallel approach is necessary, any buttons should be between 54 and 9 inches from the floor.  Both of these sets of measurements are affected if there is a table or other barrier between the visitor and the interactive. Ideally, there would be enough room for a wheelchair to pull up under the table. Another aspect to consider is the size and composition of the interactives themselves. Taking a variety of mobility impairments into account, interactives should be wider than 3 inches, not slippery, easily operated using only one hand, and require no tight twisting, grasping or pinching and no force over 5 lbs.

Seating is key for visitors with mobility impairments. Half of the seating should be accessible, meaning 17 to 19 inches above the ground with seatbacks at least 18 inches above the seat, plus armrests and back support so that people can lower themselves down and push themselves back up. Spaces for wheelchairs should be spread out so that parties can sit together.

In terms of facilities, there should be wheelchair accessible bathrooms with rails on either side of the toilet. Emergency exits should be fully accessible. Visitors with disabilities, including those with limited fine motor skills or without an extremity, should be able to open doors. One solution is to leave enough space to fit an arm between the door handle and the door itself. All entrances should have thresholds easily crossed in a wheelchair or with the aid of any other assistive device.

For a full list of measurements, we suggest that you refer to the Smithsonian Guidelines for Accessible Design (see Sources)

Case Study

Museums rarely publish the exact measurements that would allow us to judge which buildings and exhibitions “best” cater to people with mobility impairments. Therefore, this post will address the House Calls program at the Smithsonian American Art Museum (SAAM) and the Art for All program at the Cummer Museum of Art and Gardens.

SAAM’s House Calls program brings the collection to people unable to attend the museum. For adults in the DC area, docents travel to a group to hold one or multiple sessions. The docents present images using PowerPoint and prompt the audience to think back on the American past using themes of the participants’ choosing. For adults with mobility impairments, SAAM volunteers will lead telephone conversations for up to four people. Those reserving a program can choose between multiple themes, and can have up to four sessions. SAAM mails the participants images to be returned after the program is finished.

But what about programs in museums? The Cummer Museum of Art and Gardens in Jacksonville, Florida has a program called Art for All, designed especially for visitors with mobility impairments. Tours for visitors with physical disabilities involve tactile components to encourage engagement and can include a studio segment. In the studio, participants can use adaptive art-making tools. “Art Rollers” can be manipulated using gross, not fine, motor skills, and attach to wheelchairs to create art on the floor.

Where do we go from here? What more can we do?

Mobility impairments are one of the first disabilities a museum addresses, due in part to legal requirements. But are museums doing enough? There are still countless museums without adequate alternatives to stairs, and few have programs designed especially for visitors with limited mobility. How do you think the museums community can better serve visitors with mobility impairments? Is the answer in distance learning or programs in the museums themselves?


Sources
Centers for Disease Control
US Dept. of Education Handbook (PDF)
National MS Society
Parylized Veterans of America
Smithsonian Accessibility Guidelines (PDF)
Smithsonian American Art Museum
Cummer Art Museum and Gardens

Visitors Who Have Alzheimer's Disease

Background

About 5.4 million people in America have Alzheimer’s disease, the most common type of dementia. This means that 1 in 8 Americans aged 65 or older and almost half of Americans over 85 have the disease. With that segment of the population growing, we can expect more and more cases of Alzheimer’s in the coming years. For example, presently someone develops Alzheimer’s every 69 seconds, but by mid-century someone will develop the disease every 33 seconds. Another concern is the number of unpaid caregivers—14.9 million. It is clear that there is a need to enhance the quality of life for both Alzheimer’s patients and their caregivers. Museums can help.

Considerations

Alzheimer’s disease results in mental decline. This affects recent memory, language (the skills required to write, speak or comprehend), abstract thinking, and the abilities to understand and use symbols, plan, reason, solve problems and focus on a task. Patients can become disoriented, lose initiative, and have changes in mood, personality and behavior. The disease often results in the "the four A's" – anxiety, aggression, agitation and apathy. Also keep in mind that participants, due to their age, might also have problems with their hearing, sight and mobility, each addressed in earlier posts.

The disease starts by affecting the parts of the brain involved in creating new memories. But the Parietal lobe, which is stimulated through creative activities such as art and music, is not affected until rather late in the disease. Here lies the potential for museums to help this audience.

A museum seeking to serve Alzheimer’s patients would need to first consider comfort. There needs to be a short walk from a vehicle to the door, available wheelchairs and stools, and easily accessible bathrooms including companion care restrooms. During the program itself, guides would need to encourage visitors, accept all answers and call upon participants to think and give their opinions rather than to remember.

Case Study

Regarding the affects of Alzheimer’s disease, John Zeisel, one of the creators of the MoMA Alzheimer’s Project says,

“I don’t think Alzheimer’s takes anything away at the end of life. Whether you lose the ability to sequence complex events or whether you lose the ability to express yourself in certain words or whether you lose the ability to control your impulses, these are not essential to life. What Alzheimer’s does is it leaves the essential parts of life. It leaves people’s ability to be joyous. It leaves people’s ability to see art and respond to music. It leaves people’s ability to relate to other people and feel things deeply. If through the environment and through the people that stay together with them, they can touch those deep memories of their lives, those remain and that’s there til the end of their lives.”

The Museum of Modern Art in New York City holds a special program called Meet Me at MoMA once a month for people living with Alzheimer’s and their caregivers. A specially trained museum educator leads everyone in an interactive discussion about art. Through the program, the Alzheimer’s patients can exercise their mental facilities, access long-term memories and find personal relevance while exploring the museum’s collection. These meaningful activities often help improve mood and there have been reported decreases in the "the four A's" (anxiety, aggression, agitation and apathy). Finally, the program provides an opportunity to strengthen the caregiver-patient relationship, which can be vital during stressful times.

During the program, museum guides use inquiry-based techniques, asking open-ended questions to facilitate conversation. The stages of the discussion are Observation, Description, Interpretation, Connection, Small Group Conversation (Turn and Talk) and Summary.

MoMA published materials to provide other museums with a How-To on creating successful programs for people with dementia. Some of their recommended facilitation strategies include:


- Be relaxed and let the conversation go in unexpected directions.
- Keep the atmosphere light and humorous.
- Show interest in all comments and be supportive. Remember that people want to leave feeling good about themselves. Never chastise a participant—validate frequently and sincerely.
- Keep the effects of the disease in mind but never mention it.
- Make eye contact, pay attention to non-verbal communication (facial expression, body language, gestures) and talk directly even to non-verbal participants.
- Emphasize and define key words and avoid vague language, interpret and clarify a comment if you are having trouble understanding it.
- Repeat questions and comments so the whole group can hear.
- Encourage debate.
- Allow people to comment as much as they like but don’t let anyone monopolize the conversation. Patiently bring to a close overly-long comments.
- Build a theme out of responses, repeating and building on them.
Summarize often.
- Enthusiasm and sincerity are key!


Where do we go from here?

How else can we serve Alzheimer’s patients and their caregivers? How can museum educators learn from and build upon the MoMA model? What has Meet Me at MoMA not done that might better serve Alzheimer’s patients?

Sources
Meet Me At Moma
ARTZ Museum Program for Alzheimer’s
ABC News: Art Awakens Minds
Alzheimers Association

Visitors With Intellectual, Learning or Developmental Disabilities

Background

People with learning, intellectual and developmental disabilities perhaps are the subject of the most pity, misunderstanding and judgment. While it is relatively easy to understand that someone can’t see, hear or move well, or even why older people may decline mentally, it is harder for many people to grasp why a certain person doesn’t think, learn or act the same way they do. People with learning, intellectual or developmental disabilities are often teased and have been misunderstood even by their parents and teachers. This entry will give a brief (and admittedly simplified) introduction to these kinds of disabilities, but there are so many varieties that this discussion is by no means comprehensive. Please see Sources for more information.

“Intellectual disability” was previously referred to as mental retardation and is a kind of developmental disability. Someone with such a disability is significantly limited in intellectual functions and adaptive behaviors, the latter of which includes many practical, conceptual and social skills. Down Syndrome is one example of an intellectual disability. This condition comes in various forms and different levels of severity.

A “learning disability” is different from an intellectual disability. People with learning disabilities have a neurological disorder that affects the way their brains receive, process, store and respond to information. These differences can affect academic and social behavior. The following are some common types of learning disabilities:
- Dysgraphia: difficulty writing
- Dyspraxia: difficulty with fine motor skills
- Dyslexia: difficulty reading
- Dyscalculia: difficulty with math
- Dysphasia: difficulty with language
- Auditory Processing Disorder: difficulty hearing differences between sounds
- Visual Processing Disorder: difficulty interpreting visual information
- Problems with Executive Functioning: difficulty connecting past and present (and thus managing time, making plans, keeping track of multiple things)

Some conditions, such as Attention Deficit Disorder (ADD), Attention Deficit Hyperactivity Disorder (ADHD) and Autism, are not the same as the learning disabilities above and have been referred to as anything from an intellectual disability to a developmental disorder. ADD and ADHD often manifest in inattentiveness, hyperactivity and/or impulsivity and affect 3-5% of school-aged children. Autism affects the brain’s development of social and communication skills. There are many degrees of characteristics along the Autism Spectrum, which, according to some, includes the high-functioning form Asperger’s Syndrome. Autistic children often have trouble with pretend play, social interactions, and verbal and nonverbal communication. In addition, autistic children may become distressed when a routine changes, have heightened or low senses of sight, touch, taste, sound or smell, develop language slowly if at all, and have trouble making friends.

Considerations

Museums and their exhibitions must be accessible to visitors with multiple intelligence levels and ways of learning. One strategy to help accomplish this goal is to have a set path through an exhibition. Consistent elements such as a theme, landmarks, or a story line will give the exhibition continuity and help visitors with learning or intellectual disabilities to understand it. If the exhibit does not lend itself to a clear path, a museum can use handouts or wall text to underline such a course. These elements help visitors follow complex ideas. To achieve these ends, labels should be clear and concise. An introductory text panel could present a symbol that will be consistent throughout the exhibit, highlighting or asking questions about thematic points.

One of the best ways to make an exhibition easily understood by all visitors is to present the content in ways that engage as many senses as possible. In earlier posts, we discussed the needs of visitors who are blind or have low vision and visitors who are deaf or hard of hearing. The former needs information presented in auditory or tactile formats and the latter requires content presented visually. By supplying all of the above, the museum not only accommodates the visitors with the aforementioned challenges but also visitors with intellectual, learning or developmental disabilities. One of the best strategies to reach the majority of visitors is to present an exhibition’s content in as many ways possible, engaging multiple senses. By presenting important or interesting points in multiple ways, it is more likely that the visitor will internalize what they learned at the museum.

However, it is important to keep in mind that some people may be disoriented or have trouble concentrating with too many competing media. To solve this problem, the museum can design an exhibit with noisy and quiet areas and also provide headsets or ear phones to isolate the sound. As such, visitors can benefit from content presented in multiple ways while still being able to focus. For many visitors with intellectual, learning and developmental disabilities, active participation, manipulation and demonstration are much more effective educational tools than simple verbal presentation. Virtually everyone learns best by experience and it is no exception here.

There are some specific considerations to keep in mind when providing programs for intellectually disabled visitors:
- Be very transparent about rules at the beginning
- Provide a floor plan
- Select areas without too much audio or visual distraction to make concentrating easier
- Allow extra time during transitions
- Do not be discouraged if a visitor chooses not to stay with the tour
- Be confident, enthusiastic and encourage participation
- Communicate directly to an intellectually disabled visitor
- Treat the adults like adults
- Remind visitors that objects are fragile
- Make sure to present the content in an easily understood format
- Build upon specific information to come to more general conclusions
- Summarize frequently
- Present content with visual aids to demonstrate key points

For a program for visitors with learning disabilities:
- Keep the group small
- Shorten the tour
- Establish rules from the beginning
- Map out a simple route
- Be transparent about the structure of the program (advance organizers!)
- Select well-organized exhibits with easily legible signs and labels
- Take a multi-sensory approach using visual aids and touchable elements
- Speak clearly and at a normal pace
- Minimize the use of reading or writing during the program; rely more on discussion
- Avoid distractions
- Explain any difficult terms clearly and carefully
- Always avoid embarrassing the disabled visitor

Remember that these are general guidelines and suggestions. There is no one definition of a visitor with an intellectual, learning or developmental disability. Do your best to read your audience and tailor your program to your current visitors.

Case Study

The Metropolitan Museum of Art in New York City has a program called “Discoveries” for children visitors with learning and developmental disabilities and their families. Participants may have anything from Down Syndrome to Autism and many things in between. The programs require reservations and the Met keeps the groups small.  Upon reservation, an employee usually asks “Can you tell us more about your child?” but they cannot ask what disability a child has. The program consists of a short thematic gallery tour and then an art activity in a classroom. The employees use a routine, meeting in the same place and introducing the participants and the topics to be discussed. Although there are always newcomers, there are some participants who have been coming to the program for 20 years and thus a community has formed.

The key to the program is being flexible. The educators tailor the program to whoever is present and, by observing and conversing with the visitors, can decide how much or how little information to give. Another example of flexibility is returning to the classroom early if a visitor has a meltdown in the galleries. The educator is always responsive to the comfort and needs of the participants. The educator we spoke with said that making the content accessible and the program enjoyable for visitors of all ages and abilities is challenging but fun. The program leaders accomplish this by engaging multiple senses and promoting inquiry. They have used touch and scent in addition to sight and hearing. Only taste remains unexplored due to gallery regulations. The program even involves theater and acting at times. To promote inquiry, educators ask open-ended questions, encourage the participants to ask questions of their own and to engage in conversations.

Where do we go from here?

What more can we do? How can we further serve visitors with intellectual, learning and developmental disabilities? Content accessibility seems to be the last piece of the puzzle. Most museums can meet minimum standards allowing accessibility for mobility, vision and hearing impaired visitors. Do we focus enough on content accessibility? What more can we do to serve this audience?

Sources
American Association of Intellectual and Developmental Disabilities
National Center for Learning Disabilities
HelpGuide.org
US National Library of Medicine: ADHD
US National Library of Medicine: Autism
The Metropolitan Museum of Art