Making it work

1. Steps to a Healthier Home Making it work

2. Page 11.1 Learning Objectives

3. Page 11.1 Create • Creating a Healthy Homes Program

4. Page 11.2 Implement • Implementing a Healthy Homes Program

5. Page 11.2 Funding Sources Healthy Homes funding sources • HUD • Rental licensing fees or taxes • EPA • State & City

6. Page 11.2 Other Funding • Public agencies can provide “seed” money • Involve private sector foundations

7. Page 11.3 Health and Housing Benefits to collaboration • Long-term success • Long-term community capacity • Empower members • Produce change

8. Page 11.3 Important Players • Agencies • Community-Based Organizations • Property Owners • Contractors and trades people • Families • Others?

9. Page 11.3 Agencies • Other local agencies regularly enter homes • Consider coordinating services at single home visit.

10. Page 11.4 Community-Based Organizations • Solicit input • Attend community functions • Consider interests and priorities • Involve community members

11. Page 11.4 Property Owners • Involve in initial program plan • Secure participation • Conduct work at turnover • Require prerequisite work • Offer training • Stress maintenance

12. Page 11.5 Contractors & Trades People • Involve in developing work protocols • Offer to train and equip • Encourage quality of work standards • Meet regularly • Help contractors market

13. Page 11.6 Families • Always have avenues for the family to become involved • Provide program materials • Educate at organizational meetings or “kitchen meetings”

14. Page 11.6 Challenges Health & Housing Collaborations • Different visions • May speak “different languages” • Many players • Agency culture • Power inequities • “Bad” history • Competition for funding • Lack of resources, or unbalanced distribution of resources

15. Making it Work Using Information to Build & Improve Program

16. Page 11.6 Why Collect Information? • Determine the magnitude of the problem & community characteristics

17. Page 11.7 Why Collect Information? • Establish a baseline • Evaluate your program • Make decisions about strategies

18. Page 11.8 Gathering Data

19. Page 11.8 Visual Assessment Tools • Local Tools • CDC/HUD Housing Inspection Manual • Community Environmental Health Resource Center (CEHRC) Visual Survey

20. Exercise #9 • Conduct a Visual Survey and Assessment of Potential Code Violations • Use CEHRC Visual Survey as Template • Use IPMC as Model Code

26. Making it Work Legal Issues: Confidentiality, Disclosure, and Liability

27. Page 11.11 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

28. Page 11.11 What Information is Confidential? • Protected under law • Defined as confidential under agency or state policy • “Sensitive” to the home occupants

29. Page 11.12 Usually Not Sensitive Occupation Birth date/age Race/ethnicity Gender Organizational affiliation Home address Likely Sensitive • Use of addictive products • Illegal conduct • Mental health • Personal hygiene • Medication • Health conditions • Symptoms • Citizenship CONFIDENTIAL

30. Page 11.12 Child Protective Services Mandated Reporting • Young children home alone • Active physical abuse, or evidence of abuse • Drug activity may not be considered a condition that endangers

31. Page 11.12 Discretionary Reporting • To whom do you report? • What do you report? • When?

32. Lack of smoke alarms Structural defects that may cause an injury Sewage intrusion Vermin infestation Peeling/ deteriorated paint in homes older than 1978 Sample results, if taken (lead, radon) Lack of window guards in high rise Any other immediate hazards found Hot water heater temperature, especially if multifamily Page 11.13 Reporting • Conditions to report to both • property owner and tenant

33. Page 11.13 “Rules of Thumb” Information collection and reporting • Only what you need to know • Partnerships may be beneficial • Know which laws apply • Disclose code violations to the owner • Don’t disclose sensitive information

34. Page 11.13 “Rules of Thumb” Legal issues and liability • Follow laws • Exercise caution when making recommendations for home treatments • Recommend professionals when needed • Use applicable standards when available

35. Page 11.14 Liability Exposures Healthy Homes Practitioners • Multiple sources and types of exposures • Limited research and data • Lack of clear standards and guidelines • Testing methods and controls

36. Page 11.14 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.

37. Page 11.14 Learning Objectives

38. Please fill out your course evaluation! • You should receive an email notification regarding the online course evaluation. This link is unique to you (do not share with anyone else). • At the end of the evaluation, you will see a screen with a four digit authentication code. WRITE THIS CODE DOWN. You will need to enter it into the Learning Management System (LMS) to verify that you have completed the evaluation. • You will not be able to print out your course completion certificate until you have completed the evaluation, entered your authentication code into the LMS and your instructor has confirmed your attendance. This will expire after 30 days.