Principles Communicating Results and Intervention Strategies Healthy Home Environmental Assessment Principles Initial contact and collection of information Establish a clear purpose for the assessment ID: 1044114
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1. Healthy Home Environmental Assessment PrinciplesCommunicating Results andIntervention Strategies
2. Healthy Home Environmental Assessment PrinciplesInitial contact and collection of informationEstablish a clear purpose for the assessmentFormulate initial hypothesesSite visit and walk-throughQualitative and Quantitative AssessmentGenerate Assessment Report with ActionsEducate for Solutions2
3. 3
4. HH Actions Start with Education4
5. In Home Education5
6. In-Home EducationDuring the home assessment:Provide education during teachable momentsVisual walk-through of homeOne-on-one educationProvide relevant education based on client health history, housing history, and home assessmentExplain significance of concerns related to healthBased on evidence-based research when possibleAnswer questionsSchedule follow up to deliver assessment results6
7. Healthy Home Education PlanAfter the Home Assessment:Develop healthy home action planRecommend feasible interventionsDiscuss action plan with familyDuring initial assessment & report delivery Reinforce the education provided during initial home assessmentContinue to follow up if time allowsTracking behavior changesOngoing education7
8. Risk Analysis-Prioritizing Home Hazards 8Identify, Justify, Prioritize…
9. 9Risk AnalysisRisk AssessmentRisk ManagementRisk Communication
10. Exercise #8Identify 5 hazards observed during the visual assessment.Justify why each of these hazards is a health and/or safety concern based on your knowledge.Prioritize these hazards, determine whether they are acute or chronic hazards, and rank them starting with the highest priority to take action to resolve.10
11. Home Assessment Report GoalsAlways START and END with people.Communicate assessment results in a way that the occupant understands.Multiple levels of understandingAssessment communicates both what was good, and what was bad.Use photos from their home to reinforce issues.Rule out concerns .Communicate about hazards identified.Provide specific actions families can take.Connect assessment with interventions.11
12. 12Key Home Assessment Report Components
13. Summary of Assessment ResultsShould discuss results as they relate to standards used to establish criteria for action.Recommendations must be based on the sampling and testing data gathered13
14. Results of TestingThe most confusing part of a report.How results are presented is essential to the client’s comprehension.Important to have an understanding of:Units of measurement.Accuracy of instruments and methods.How to interpret results and what they mean.14
15. Allergen ExposureEnvironmental AllergenPublished Threshold (mcg/grm)Dust Mite (Der p 1)2Dust Mite (der f 1)2Cat (fel d 1)8Dog (Can f 1)10German Cockroach (Bla g 1)2 U/gramGerman Cockraoch (Bla g 2)0.04Mouse (Mus m 1)1.615Salo PM, Arbes SJ, Jr., Crockett PW, Thorne PS, Cohn RD, Zeldin DC. Exposure to multiple indoor allergens in US homes and its relationship to asthma. J Allergy Clin Immunol. 2008;121(3):678-84 e2. Epub 2008/02/08.
16. Any references used in developing assessment procedures and in guiding the interpretation of analytical data should be cited in the report.References16
17. Healthy Home Action PlanGoal of plan is to eliminate or reduce exposure to likely sources that trigger symptoms or cause illness:Environmental factors (e.g. carpeting)Lifestyle choices (e.g. smoking)Prioritize Simplest Actions FirstWhat interventions to consider?Actions to take insideActions to take outsideWhen you know where the likely sources are, you learn how to control them.17
18. Home Intervention Strategies18
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20. 20Risk Communication
21. 21Factors that Inspire Trust and Credibility50% Caring & Empathy15-20% Competency & Expertise15-20% Dedication & Accountability15-20% Honesty & Trustworthiness
22. Healthy Home Intervention Priorities22
23. Exercise #9 - Writing Healthy Home Action Plans Of the hazards you identified in the home you assessed, select one of these and write what action steps you think are necessary to resolve this hazard.Identify key messages you might provide as part of your communication about this hazard to the client living in this home.23
24. 24A New Guide for Healthy Home Program Development and Operationshttp://portal.hud.gov/hudportal/HUD?mode=disppage&id=HHGUIDANCEMANUAL
25. Healthy Home Guidance Manual25Chapter 1 IntroductionChapter 2 Community InvolvementChapter 3 Program DesignChapter 4 AssessmentChapter 5 Intervention StrategiesChapter 6 Program EvaluationChapter 7 Sustainability
26. 26HUD Healthy Home Intervention Prioritieshttp://portal.hud.gov/hudportal/HUD?mode=disppage&id=HHGUIDANCEMANUAL
27. Voluntary GuidelinesIncludes:ProtocolsMinimum ActionsExpanded ActionsNew EPA IndoorEnvironmental Protocols for Energy Audits- 27
28. What to look for during the Home Energy Audit28
29. Minimum Actions to ensure the Home Energy Retrofits “Don’t Make it Worse”29
30. Expanded Actions to further improve IAQ in Home Energy Retrofits (funds permitting)30
31. Helpful Guidance For SomeImportant Interventions31
32. 32Recent Healthy Home PublicationsHousing Interventions and Control of:Asthma-related Biological AgentsHealth-related Chemical AgentsInjury-related Structural DeficienciesHealthy Energy-efficient Housing
33. 33Tursynbek Nurmagambetov, Sarah Beth Link, Verughese Jacob, Sajal Chattopadhyay, David Hopkins, Deidre Crocker, Gema Dumitru, Stella KinyotaEconomic Evaluation of Home‐Based Environmental Interventions to Reduce Asthma MorbidityDecember 2009, CDC National Webinar Home-Based multi-component interventions with environmental focus reduce symptom days and improve quality of lifeEconomic EvaluationCost-benefit studies show net positive returns on investment - Benefit/cost ratio from 5.3 to 14Health Benefit in symptom free days and reduced health services compared to the costs of interventions implemented
34. 34Asthma Education, Home Assessments, and Interventions Pay for Themselves
35. 35Asthma Education, Home Assessments, and Interventions Pay for Themselves
36. 36Environmental Intervention- Leveraging Resources
37. 3737Benefits to Health and Housing CollaborationCollaboration is a process in which each participant develops full commitment to a common mission.A health and housing collaboration can:Promote long-term successBuild long-term community capacityEmpower membersProduce concrete and measurable change37
38. Resources to Help Clients Improve Their Home Environment38
39. Other Local Resources39
40. National Resources40