Healthy Homes Assessment for Community Health Workers Understand Housing Code Basics Conduct a Home Assessment Identify three types of codes used to enforce remediation of housing-related hazards. Define and compare the IPMC and NHHS. Explain the purpose of the resident interview/environmental history. Differentiate between deficiency-based and solutions-based checklists. Assess your local code inspection program and practices. Identify and use appropriate assessment approaches and tools. Conduct an onsite assessment. 9 S4_HHACHW_INTRO_Mar2017 1
Develop an Action Plan Educate Residents Prioritize identified hazards. Identify occupant / homeowner responsibilities. Identify potential community resources to address hazards. Prioritize information to share,based on housing and health concerns. Select audience-appropriate materials. Practice communication strategies. Develop a sample action plan given an assigned issue. 10 11 Just the Facts People Matter Can We Talk? Keep It Healthy (1) Keep It Healthy (2) 100 pt 100 pt 100 pt 100 pt 100 pt 200 pt 200 pt 200 pt 200 pt 200 pt 300 pt 300 pt 300 pt 300 pt 300 pt 400 pt 400 pt 400 pt 400 pt 400 pt 500 pt 500 pt 500 pt 500 pt 500 pt 12 S4_HHACHW_INTRO_Mar2017 2
Just the Facts: 100 Points The definition for this type of housing says that it is designed, constructed, rehabilitated, and maintained in a manner that is conducive to good occupant health, safety and sense of well-being. 13 Just the Facts: 100 Points What is the definition of healthy housing? 14 Just the Facts: 200 Points The two populations considered to be most at risk from health hazards in the home. 15 S4_HHACHW_INTRO_Mar2017 3
Just the Facts: 200 Points What are children and elderly adults? 16 Just the Facts: 300 Points This hazard can cause irreversible developmental delays in children. 17 Just the Facts: 300 Points What is lead poisoning? What is lead poisoning? 18 S4_HHACHW_INTRO_Mar2017 4
Just the Facts: 400 Points This category of health concerns has been linked to lack of light, overcrowding, and the presence of bed bugs. 19 Just the Facts: 400 Points What is mental health? 20 Just the Facts: 500 Points The four routes of exposure, or manners in which a contaminant might enter the body. 21 S4_HHACHW_INTRO_Mar2017 5
Just the Facts: 500 Points What are inhalation, ingestion, absorption, and injection? 22 People Matter: 100 Points Some problems are not readily observable when you enter a home, or they may only occur at certain times of the day or in certain types of weather. That s why you should always start with. 23 People Matter: 100 Points What is People? What are cockroaches? 24 S4_HHACHW_INTRO_Mar2017 6
People Matter: 200 Points Between signs and symptoms, this is the category of health indicators that are objective, observable, and measurable, such as temperature, blood pressure, and rashes. 25 People Matter: 200 Points What are signs? (Symptoms, on the other hand, are not observable or easily measured. For example: headaches, nausea, etc.) 26 People Matter: 300 Points The number of homes with absolutely no potential health hazards whatsoever. 27 S4_HHACHW_INTRO_Mar2017 7
People Matter: 300 Points What is practically none? 28 People Matter: 400 Points Most residents are trying to balance competing demands. For this reason, we should always assume they are doing the best they can. Some of the challenges residents face in keeping their home healthy include. (Try to list at least 2.) 29 People Matter: 400 Points What are: Not enough time Not enough money Not enough information Lifestyle conflicts (e.g., smoking, pet lover, etc.) 30 S4_HHACHW_INTRO_Mar2017 8
People Matter: 500 Points When residents were asked to rate their homes on a scale of 1-10, the majority of people in this group rated their homes a 7 or lower: A.Renters B.Those living below the poverty line C.None D.All 31 People Matter: 500 Points What is C. None? Even renters and those living below the poverty line rated their home an 8 or higher. 32 Can We Talk? : 100 Points Between open-ended and closedended, this type of question generally begin with words such as: Are? Is...? Do...? Who...? Where...? 33 S4_HHACHW_INTRO_Mar2017 9
Can We Talk? : 100 Points What is a closed-ended question? 34 Can We Talk? : 200 Points This type of question is used to: Invite conversation Get details Solicit additional information 35 Can We Talk? : 200 Points What is open-ended? These questions often begin with words like How and What or phases like Can you describe? or Can you tell me...? 36 S4_HHACHW_INTRO_Mar2017 10
Can We Talk? : 300 Points Working with residents from a different country or cultural background may present a number of communication challenges, including. (Try to name at least 3) 37 Can We Talk? : 300 Points What are: Language barriers Restrictions on communication between females and non-family males Ideas about personal space Restrictions on physical contact The acceptability of yawning or other bodily noises Rules about making eye contact 38 Can We Talk? : 400 Points When dealing with this communication challenge you might try: Speaking slowly and clearly Writing out information for the resident Using a translation app on your phone (But NOT raising your voice) 39 S4_HHACHW_INTRO_Mar2017 11
Can We Talk? : 400 Points What is a language barrier? 40 Can We Talk? : 500 Points A communication strategy that requires the speaker to: Contain negative thoughts & feelings Remain professional Continue working with residents Maintain perspective 41 Can We Talk? : 500 Points What is Bracketing? 42 S4_HHACHW_INTRO_Mar2017 12
Keep It Healthy (1): 100 Points Often referred to simply as the IMPC, this is one of the most extensive sets of housing codes, and has been adopted by more than 600 communities in the United States and Canada. 43 Keep It Healthy (1): 100 Points What is the International Property Maintenance Code? 44 Keep It Healthy (1): 200 Points Although not actually a housing code, this set of guidelines acts as a complement to the IPMC and related policies by filling the gasp where no policy currently exists. It is commonly referred to simply as the NHHS. 45 S4_HHACHW_INTRO_Mar2017 13
Keep It Healthy (1): 200 Points What is the National Healthy Housing Standard? 46 Keep It Healthy (1): 300 Points An approach to housing assessment that looks at the interaction between people, the structure they live in, and any potential health hazards. Hint: This approach looks at the whole picture. 47 Keep It Healthy (1): 300 Points What is the Holistic Approach? What are furniture straps? 48 S4_HHACHW_INTRO_Mar2017 14
Keep It Healthy (1): 400 Points This is the primary health issue where pests are concerned. 49 Keep It Healthy (1): 400 Points What is asthma? 50 Keep It Healthy (1): 500 Points Tobacco smoke is perhaps the most easily prevented, but it is just one example of the many hazards addressed by this keep-it. 51 S4_HHACHW_INTRO_Mar2017 15
Keep It Healthy (1): 500 Points What is Keep It Ventilated! 52 Keep It Healthy (2): 100 Points This causes mold and mildew, which in turn causes respiratory problems. 53 Keep It Healthy (2): 100 Points What is dampness? 54 S4_HHACHW_INTRO_Mar2017 16
Keep It Healthy (2): 200 Points The two primary objectives of this Keep-It are to: Reduce and eliminate environments where pests might find harborage Reduce exposure to contaminants and allergens Hint: It s NOT Keep It Pest-Free 55 Keep It Healthy (2): 200 Points What is Keep It Clean? 56 Keep It Healthy (2): 300 Points This Keep-It is concerned with limiting the residents exposure to tobacco, volatile organic compounds (VOCs), radon, asbestos, carbon monoxide, and lead. 57 S4_HHACHW_INTRO_Mar2017 17
Keep It Healthy (2): 300 Points What is Keep It Contaminant-Free? 58 Keep It Healthy (2): 400 Points Research related to keeping it safe tell us that is the number #1 cause of home injury deaths? 59 Keep It Healthy (2): 400 Points What is falls? 60 S4_HHACHW_INTRO_Mar2017 18
Keep It Healthy (2): 500 Points This keep-it looks at the mechanical systems that regulate a home s temperature and humidity levels, and also at how the house itself operates as a system. 61 Keep It Healthy (2): 500 Points What is Keep It Climate-Controlled? 62 WELL, WHAT DO YOU KNOW Introduction Find the self-assessment form at the back of the Introduction section of your binder. List as many of the 8 Principles as you can. List at least 5 home hazards and their related health impacts. 63 S4_HHACHW_INTRO_Mar2017 19
THE 8 PRINCIPLES OF HEALTHY HOMES Keep It 64 S4_HHACHW_INTRO_Mar2017 20