1 making it work steps to a healthier home. l earning o bjectives name two provisions of a code that...
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1
MAKING IT WORK
Steps to a Healthier Home
LEARNING OBJECTIVES
NAME two provisions of a code that could be used to cite a hazard in the home.
EXPLAIN why partnership with the community is essential.
IDENTIFY five important players involved in healthy homes issues.
EXPLAIN why data collection and analysis are important in delivering healthy housing services.
IDENTIFY three sources of data and where to find them.
LIST two things that you might observe that must be reported and two that are discretionary.
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CREATE
Successful healthy home projects need:• Established objectives• Administrative infrastructure• Identified and committed partners• Secured funding• Sustainability plan
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11.1Creating a Healthy Homes Program
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IMPLEMENT
Issues to consider: • Job descriptions• Training program• Programmatic changes
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11.2Implementing a Healthy Homes Program
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FUNDING SOURCES
HUDRental licensing fees or taxesEPAState & City
Healthy Homes funding sources
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11.2
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OTHER FUNDING
Public agencies can provide “seed” money
Involve private sector foundations
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HEALTH AND HOUSING
Long-term success Long-term community capacity Empower members Produce change
Benefits to collaboration
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IMPORTANT PLAYERS
AgenciesCommunity-Based OrganizationsProperty OwnersContractors and trades peopleFamiliesOthers?
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AGENCIES
Other local agencies regularly enter homes
Consider coordinating services at single home visit.
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COMMUNITY-BASED ORGANIZATIONS
Solicit inputAttend community functionsConsider interests and prioritiesInvolve community members
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PROPERTY OWNERS
Involve in initial program planSecure participationConduct work at turnoverRequire prerequisite workOffer trainingStress maintenance
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CONTRACTORS & TRADES PEOPLE
Involve in developing work protocolsOffer to train and equipEncourage quality of work standardsMeet regularlyHelp contractors market
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FAMILIES
Always have avenues for the family to become involved
Provide program materials
Educate at organizational meetings or “kitchen meetings”
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CHALLENGES
Different visionsMay speak “different languages”Many playersAgency culturePower inequities“Bad” historyCompetition for fundingLack of resources, or unbalanced distribution of resources
Health & Housing Collaborations
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USING INFORMATION TO BUILD & IMPROVE PROGRAM
Making it Work
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WHY COLLECT INFORMATION?
Determine the magnitude of the problem & community characteristics
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WHY COLLECT INFORMATION?
Establish a baselineEvaluate your programMake decisions about strategies
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GATHERING DATA
Demographic/Socioeconomic
Housing
Health
Environment
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VISUAL ASSESSMENT TOOLS
Local ToolsCDC/HUD Housing Inspection ManualCommunity Environmental Health Resource Center (CEHRC) Visual Survey
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EXERCISE #9
Conduct a Visual Survey and Assessment of Potential Code ViolationsUse CEHRC Visual Survey as TemplateUse IPMC as Model Code
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LEGAL ISSUES: CONFIDENTIALITY, DISCLOSURE, AND LIABILITY
Making it Work
CONFIDENTIALITY
Community workers and government employees
need to balance the privacy rights of people they work with and the obligation to
protect the health and safety of others
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WHAT INFORMATION IS CONFIDENTIAL?
Protected under law
Defined as confidential under agency or state policy
“Sensitive” to the home occupants
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CONFIDENTIAL
LIKELY SENSITIVE▪ Use of addictive
products▪ Illegal conduct▪ Mental health▪ Personal hygiene▪ Medication▪ Health conditions▪ Symptoms▪ Citizenship
USUALLY NOT SENSITIVE▪ Occupation▪ Birth date/age▪ Race/ethnicity▪ Gender▪ Organizational
affiliation▪ Home address
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CHILD PROTECTIVE SERVICES
Young children home aloneActive physical abuse, or evidence of abuseDrug activity may not be considered a condition that endangers
Mandated Reporting
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DISCRETIONARY REPORTING
To whom do you report? What do you report? When?
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Lack of smoke alarmsStructural defects that may cause an injurySewage intrusionVermin infestationPeeling/ deteriorated paint in homes older than 1978Sample results, if taken (lead, radon)Lack of window guards in high riseAny other immediate hazards foundHot water heater temperature, especially if multifamily
REPORTINGConditions to report to bothproperty owner and tenant
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“RULES OF THUMB”
Only what you need to knowPartnerships may be beneficialKnow which laws applyDisclose code violations to the owner Don’t disclose sensitive information
Information collection and reporting
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“RULES OF THUMB”
Follow laws Exercise caution when making recommendations for home treatmentsRecommend professionals when neededUse applicable standards when available
Legal issues and liability
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LIABILITY EXPOSURESHealthy Homes Practitioners
Multiple sources and types of exposures
Limited research and data Lack of clear standards and
guidelines Testing methods and
controls
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KEY MESSAGES
The community must be engaged in achieving HH goals.
The holistic approach requires coordination and collaboration among all programs sending staff in the home.
Data are essential to identify the problem, determine the magnitude, develop an intervention and measure success.
Healthy homes practitioners need to be aware of legal and ethical issues in their own communities.
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LEARNING OBJECTIVES
NAME two provisions of a code that could be used to cite a hazard in the home.
EXPLAIN why partnership with the community is essential.
IDENTIFY five important players involved in healthy homes issues.
EXPLAIN why data collection and analysis are important in delivering healthy housing services.
IDENTIFY three sources of data and where to find them.
LIST two things that you might observe that must be reported and two that are discretionary.
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11.14
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