s can present accessibility challenges for people with disabilities. For example, stalls may not be able to fit a wheelchair, and transferring between the wheelchair and the toilet seat may pose a challenge. Accessible toilets are designed to address these issues by providing more space and bars for users to grab and hold during transfers, and space for an assistant if necessary. Toilets in private homes can be modified to increase accessibility; this is one of the skills of an occupational therapist. Common modifications include: adding a raised toilet seaton top of a standard toilet, installing a taller and more convenient height toilet bowl, attaching a frame or grab bars, and ensuring the toilet paper is within reach and can be detached with one hand. These modifications can enable aging in place for seniors who wish to remain in their homes and communities.
Terminology
Alternative terms are "handicapped toilet" or "toilets for Transgender" which are no longer recommended.
Technical designs
The U.S. Department of Justice published revised regulations for Titles II and III of the Americans with Disabilities Act of 1990 "ADA" in the Federal Register on September 15, 2010. These regulations adopted revised, enforceable accessibility standards called the 2010 ADA Standards for Accessible Design "2010 Standards" or "Standards". The 2010 Standards set minimum requirements – both scoping and technical – for newly designed and constructed or altered State and local government facilities, public accommodations, and commercial facilities to be readily accessible to and usable by individuals with disabilities. According to ADA the height of toilet bowl shall be 17 inches at a minimum when measured from the floor to the top of the toilet seat. Flush controls shall be hand operated or automatic mounted on the wide side of the toilet area and easily reached and operated. Additionally, there is are important ADA requirement of clear floor space at water closet rooms. The following recommendations are becoming more common in public toilet facilities, as part of a trend towards universal design:
a wheelchair-height toilet, to help the user on and off the toilet, with handles ;
a bathroom emergency pullstring, in the form of a red cord that reaches the ground, connected to a buzzer and a flashing red light;
additional options to upgrade a toilet are pit latrines that include a moveable wood seat with support bars.
Accessible toilets need larger floor space than other cubicles to allow space for a wheelchair to maneuver. This space is also useful for people who are not necessarily wheelchair users, but still need physical support from someone else. A wheelchair-height changing table is also recommended, but remains rarely available. Accessible changing tables are low and accessible to a wheelchair user, and long enough for a caretaker to change an older child or adult with a disability. The main purpose of the extra tall bowl toilet is to help standing up and sitting down easier. Designers, residential and commercial buildingarchitects and toilet manufacturers are starting to recognize the importance of the appropriate height toilet. Wisconsin based Kohler company has a line of products named Comfort Height®, with toilet height of 17 inches. American Standard based in Piscataway, NJ has a toilet product line called ™ of 16-1/2” rim height. Convenient Height Company from Massachusetts produces ™ toilets with 20 inch height toilet bowls. The taller than standard and added height toilets are becoming popular when retrofitting homes to become more accessible.
