Leading a Community Towards Healthy Housing

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1 Leading a Cmmunity Twards Healthy Husing Magaly Angelni, MBA Rhde Island Department f Health June 2008 Tday s Presentatin Gals 1. Define healthy husing 2. Describe the Rhde Island experience 3. Share lessns learned and success stries 1

2 The cnnectin between health and dwelling is ne f the mst imprtant that exists Flrence Nightingale Fur Factrs Related t Health Genetics Medical Care Sciety Envirnment Parent s lngevity Access t care Scial Capital Quality f air, water, fd & husing Family disease histry Insurance Educatin Recreatin Phentype Vaccines, check-ups Public safety Cmmute, built envirnment The huse as a system Structural damage Misture Mld Asthma Exacerbatin 2

3 7 Principles f Healthy Husing Dry Clean Pest free Ventilated Safe Withut cntaminants Maintained 2 ways t healthy husing Get rid f the peple r.. Get rid f unhealthy husing The Rhde Island Experience 2004: CDC s plan t eliminate lead pisning by : Get a small grup t think abut healthy husing Assessment Challenges Several plans: HUD 5 year plan, Eliminatin Plan, Hmelessness Plan, Land Use 2010, Healthy Rhde Islanders 2010, Statewide Planning fr each city/twn Resurces?? 3

4 The Rhde Island experience 2006: MOU between Health and Husing Staff frm the Lead Prgram dedicated t cnduct the assessment Named the grup the Healthy Husing Cllabrative Internal grup at DOH als talking abut HH The Rhde Island experience 2007 (cn t): Healthy Husing: Why RI shuld invest in the visin reprt available Significant rerganizatin at the RI DOH Divisin f Envirnmental Health separated Healthy Husing Steering Cmmittee frmed (June) The Rhde Island experience 2007 (cn t): Nvember: Divisin f Family Health merged with Cmmunity Health and Equity. This new, large divisin is nw 2/3 f the entire Department f Health The HH Steering Cmmittee 4 members are in the same divisin and leadership 4

5 The Rhde Island experience 2007 (cn t): The Steering Cmmittee cntinues t cnvene the Cllabrative The Cllabrative merges with: Asthma wrk grups Lead Prgram Advisry Cmmittee Internal DOH grup Any thers interested Cllabrative expands, cntinues wrk The Rhde Island experience 2008: Larger grup frmed Many new partnerships Rerganizatin cmpleted (fr nw.) What next? The Rhde Island experience DOH Organizatinal Structure 3 f 7 separate divisins in the Department:: Envirnmental Health, Family Health, Cmmunity Health Envirnmental Health separated in tw parts. One part merged with Cmmunity Health Family Health merged with the already large Cmmunity Health Cmmunity, Family Health and Equity is 2/3 f the Department f Health Steering Cmmittee cnvening the Cllabrative Annual Cnference cnducted HH Databk issued HH Cllabrative Small grup cnvened in the Summer MOU signed Dedicated staff t cnduct assessment Reprt cmpleted and available Asthma partners included in the grup Wrkgrups frmed Cntinue expansin and initiatives Reviewing strategic directin f the grup Expansin in initiatives tpics expected HH grup at RI DOH HH Steering Cmmittee Began with infrmal meetings with key leadership within the Department f Health Presented a prpsal t the Directr; Directr asks fr mre details and a clear plan Given the rerganizatin and frmalizing the Steering Cmmittee, this grup was invited t merge with the HH Cllabrative Frmed with 4 members (2 frm Family Health and 2 frm Cmmunity Health) After the merge, Cmmittee is under the same divisin and leadership Partnership with Brwn University fr assessment and Healthy Cmmunities Schlars begins Mre rerganizatin expected due t retirements 5

6 5 Lessns Learned, 4 Success Stries Lessns Learned 1. Use the Lead Pisning Prgram experience as a mdel In the 1950s as many as ten children a year died frm it in New Yrk (Richard Jacksn) The prblem seemed insurmuntable Federal gvernment encurages universal screening Data used t frmulate plicy Primary preventin was deemed pririty Eliminatin gal was set Lessns Learned 2. Make yur challenges pprtunities: Rerganizatin was unexpected, felt uncmfrtable, affected many It nly takes ne t make a change Take a risk, make a prpsal Use the situatin and keep ging! 6

7 Lessns Learned 3. Make it visible: Annual cnference Databk Give the bss a frum t cmmunicate the visin Lessns Learned 4. Get the right partners Begin with the enthusiastic partners, ready t start wrking with yu Make time fr it, it will wrk Lessns Learned 5. Shw the prgress! Share reprts Encurage partners t present at ther venues Create yur wn netwrks Attend sessins like this ne! 7

8 Success stry # 1 Align funding and partners: Weatherizatin, Lead Hazard Reductin Prgram (HUD) and Cmmunity Develpment Blck Grant funds, City gvernment 1935, 3-bedrm, single family dwelling, wned by a single, pregnant wman with tw children, identified via WIC Numerus, life-threatening hazards and energy prblems in the hme BEFORE: Light Fixture in the Clset/Utility Area Shaded by (burned) Cardbard AFTER: Incandescent Bulb Replaced With a CFL 8

9 BEFORE: Peeling Lead Paint In The Windw Wells AFTER: All Windws Were Replaced and Capped BEFORE: Leaking Rf, Ceiling starting t Peel 9

10 AFTER: New rf Success stry # 2 HH educatin t Judges: Prpsed by a cmmunity lawyer wrking n envirnmental justice issues Supprted by Steering Cmmittee Cnsulted with ther parties Accepted by District Curt judges! Offered t ther attrneys Success stry # 3 HH training t all RI nursing schls Began by ne lcal cllege requesting 30 minute update abut the Lead Prgram Expanded t ther prgrams in the Department f Health The Lead Prgram prpsed t expand it t Envirnmental Health Then expanded int Healthy Husing Nw ffered t all large nursing prgrams in the state 10

11 Success stry # 4 Annual Healthy Husing Cnference Transfrmed frm the annual Lead Pisning Preventin Cnference! Set precedent. will take place every year Issue publicatin: HH Databk Ask directr t state the visin fr HH Get mre partners invlved Present awards in partnership with ther agencies Fllw up!! 11

12 Magaly Angelni, MBA Healthy Husing and Cmmunities Prgrams

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