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

Transcript of 1 MAKING IT WORK Steps to a Healthier Home. L EARNING O BJECTIVES NAME two provisions of a code that...

Page 1: 1 MAKING IT WORK Steps to a Healthier Home. L EARNING O BJECTIVES NAME two provisions of a code that could be used to cite a hazard in the home. EXPLAIN.

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MAKING IT WORK

Steps to a Healthier Home

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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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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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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

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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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