1 clppp transitions course expanding from a childhood lead poisoning prevention program to a healthy...
TRANSCRIPT
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CLPPP Transitions CourseExpanding from a Childhood Lead Poisoning Prevention Program to a
Healthy Homes Program
“The connection between health and the dwelling of the population is one of the most important that exists”. [1]
Florence Nightingale
Citado en Lowry, S. BMJ, 1991, 303, 838-840
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Health problems related to housing conditions
Asthma Allergies Brain damage Behavior & learning problems Lung cancer Injuries Poisonings
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Context for a Healthy Homes Program
Part of Goal 2 of Healthy People 2020 (a national health agenda)
Part of Healthy People 2020 Environmental Health Objectives
Surgeon General’s Call to Action to Promote Healthy Homes
Presidential Executive Order 12898 for Environmental Justice
CDC’s Healthy Homes Initiative
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Conducting a Needs AssessmentFirst step in developing a Healthy Homes Program. The needs assessment should address:
— Community analysis
— Training and education
— Policy
— Program experience
— Partnerships
— Program evaluation
— Surveillance
Strategic Plan
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Community Analysis
What are the community demographics?
What are the health issues in the community?
What are the housing needs in the community?
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Training and Education
Healthy Homes Training Center courses: Essentials for Healthy Homes Practitioners
Launching a Healthy Homes Initiative
Pediatric Environmental Home Assessment (on-line training)
Healthy Homes for Community Health Workers
Integrated Pest Management in Multi-family Housing
Code Inspection for Healthy Homes
Go to www.healthyhomestraining.org
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Training and Education (continued)
CDC Healthy Homes/Lead Poisoning Prevention Training Center – 4 tracks:
Program Management
Data Management and Surveillance
Case Management
Primary Prevention
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Policy
Identify strengths and gaps in:
State and local laws
Regulations
Ordinances
Program enforcement policies
Identify local housing codes and who enforces them
Develop an approach to address gaps
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Program ExperienceAssess organizational capacity:
• Agency resources• Past performance• Infrastructure• Management• Knowledge/skills of staff pertaining to Healthy
Homes
Don’t forget the Healthy Homes Specialist Credential
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PartnershipsIdentify partners who can help address healthy homes issues:
• Housing programs• Public health programs• Faith-based and community organizations• Environmental justice and academic centers• Local, state and federal governments• Youth centers• Universities• Fire departments• Advocacy groups• Others
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Referral ProcessDevelop plan to identify, address and resolve housing issues. Sample flowchart to describe referral process:
Home visiting Pgm./HH Inspectors
ReassessIssue
Identify issue
Program addresses
Partner addresses
No Issue Resolved?
Yes
Document in HH database
Permanent
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Program EvaluationEvaluation should answer two questions:
1. Are program activities being implemented and functioning as planned? (process evaluation)
2. Are program activities having the intended effect? (outcome/impact evaluation)
Suggested approaches to evaluation:— Four standards of utility, feasibility, propriety and
accuracy— Using SMART objectives (specific, measurable,
achievable, relevant and time bound)— Logic model
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Surveillance
May need to modify existing surveillance systems or develop new ones to include healthy homes issues.
CDC has developed a new web-based Healthy Housing and Lead Poisoning Surveillance System (HHLPSS) that is available
Contact your CDC project officer for more information on how to obtain or transition to HHLPSS
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Strategic Plan
Should address four primary questions:Who is the target audience for the intervention?What are the HH constraints of the target audience for the intervention?How will the identified HH needs/constraints be addressed?What are the expected outcomes?
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Best Practices- Programs should focus on interventions with proven efficacy. - Here is a sample of Interventions where there is “sufficient evidence” to indicate efficacy in improving health:
Multi-faceted tailored asthma interventions Integrated Pest Management (pest/allergen reduction) Moisture intrusion elimination Radon air mitigation through active sub slab
depressurization Smoking bans
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Best Practices (continued)- Programs should focus on interventions with proven efficacy. - Here is a sample of Interventions where there is “sufficient evidence” to indicate efficacy in improving health:
Smoke Detectors Lead hazard control Installation of working smoking alarms Pre-set safe temperature hot water heaters Housing Choice rental voucher program