One Touch Healthy & Energy Efficient Housing

Beverly Drouin, Div. of Public HealthDana Nute, Belknap Merrimack CAP

Ryan Clouthier, Southern NH ServicesNancy Gamble, Office of Energy and Planning

Funding Provided by HUD Office of Healthy Homes and Lead Hazard Control

With Support From USDA

NH Healthy Homes Statewide Strategic Action Plan

First Statewide Plan in the nation

Completed in August 2009 with input from partners across the state

Prepared by the National Center for Healthy Housing and Tohn Environmental Strategies

Healthy Homes Steering Committee is responsible for overseeing & implementing the Statewide Plan

Weatherization

Project Goal

Facilitate collaboration among health, housing, energy organizations to deliver “One Touch” healthy and energy efficient homes treatment through coordinated service delivery and referral.

Healthy Homes Steering Committee

NH Housing Finance AuthorityLead hazard control grant, Housing rehab

City of Manchester (Manchester Housing Initiatives)

Community Action Program

Healthy Homes Steering Committee

NH Injury Prevention Program

• NH Asthma Control Program

Maternal and Child Health(NH Home Visiting Program)

Lead Poisoning Prevention Programs

Healthy Homes Steering Committee

NH Department of Agriculture (Integrated Pest Mgt. Program)

• Radon, Carbon Monoxide

Breathe NH (Smoke Free Housing)

Weatherization

Healthy Homes Steering Committee

Smoking Cessation Program

Poison Prevention Program

NH State Fire Marshall

The Opportunity

IssueFamilies

Touched/Year

Program Provides Home Visits or

Repairs

Health 1800 Asthma, Lead Poisoning, Head Start, Home Visiting

Housing <500 Housing Rehab, Lead Hazard

Control

Energy1800

(1,000 low income)

Weatherization, Utility-Funded Energy Upgrades

What is a “One-Touch” Approach? An approach for home interventions strategically combines public health, environmental and energy efficiency

to:

• ASSESS• EDUCATE• REFER• FIX

Health & Energy

Check Ups

Pilot Efforts• Piloted in Manchester and

Belknap Merrimack CAP -- > 90 Homes

• Manchester: asthma, health visiting, lead, housing rehab, Weatherization

• Belknap-Merrimack: Head Start, Weatherization

• Strongly embraced by programs Manchester

The One-Touch Approach

Assess: Home visitors who are already

in the home are cross-trained to spend 15 extra minutes to

complete a healthy home and safety assessment check list

Manchester “One-Touch”

•Manchester Health Department (lead, asthma, tobacco)

•Southern NH Community Action Program (Mr. Fix-it, Weatherization & Fuel Assistance)

•MCH Child & Family Services (Pregnant mothers, Parenting Plus, & elderly support)

•Manchester Housing Initiatives (HUD lead abatement & housing rehab)

Several Strong Partners

Home Health and Safety checklist:second-hand smoke, mold, dust miteslead paint, lead exposureCO Monitors and Smoke Detectorsenergy efficiencyuse of pesticides and harsh cleanersclutter that could cause injuries/fallsradon or asbestosother poisonings such as prescription drugs

Educate Home visitors hand out educational resources

to the resident or family while in the home

Portable toolbox contains information from partners

Flyers, pamphlets, & contact information

Educating Home Visitors• Coordinated with program partners

to learn about eligibility requirements, benefits offered

• Different partners featured at weekly Wx. auditors meetings

• Continued collaborative efforts by partner meetings – at first monthly, now quarterly

ReferHome visitors refer families

in need to regional and statewide organizations that

can help with resources

Manchester’s “One-Touch”

11 PartnersBrief Description of

ProgramEligibility Criteria

Phone Number & Website

Developed Two-Side Referral Handout

Manchester “One-Touch”

•Originally stored in Google.docs

•Being moved to E-Studio

•Referrals being made

•Referrals status tracked

•Full information on the HH checklist scanned and e-mailed

Developed Data Tracking Spreadsheet

Administrating Program

Visitor Contact Name

Agency Code

VisitNumber

Date of Visit

AP SCP LPP LGP HS CFS FX HR WAP ES

WeatherizationJosh Zylak WAP 1. 09-14-2010 1

Weatherization Adam Foley WAP 2. 09-21-2010 1Weatherization Josh Zylak WAP 3. 09-22-2010 1 1Child and Family Services

Cherie Lebel CFS 2. 09-23-2010 1 1 1 1 1 1 1Child and Family Services Cherie Lebel CFS 1. 09-24-2010 1 1 1 1Child and Family Services Cherie Lebel CFS 3. 09-25-2010Weatherization Adam Foley WAP 4. 09-27-2010Weatherization Josh Zylak WAP 5. 09-28-2010Weatherization Josh Zylak WAP 6. 09-28-2010 1Child and Family Services Cherie Lebel CFS 4. 09-28-2010Child and Family Services Cherie Lebel CFS 5. 09-29-2010Child and Family Services

Cherie Lebel CFS 6. 09-29-2010 1 1Child and Family Services Cherie Lebel CFS 7. 09-29-2010Child and Family Services Cherie Lebel CFS 8. 09-30-2010Lead Hazard Grant Program

Tim Wood MH 5. 10-01-2010 1Lead Hazard Grant Program Tim Wood MH 4. 10-02-2010 1Weatherization Adam Foley WAP 7. 10-05-2010Weatherization Josh Zylak WAP 8. 10-05-2010 1Child and Family Services

Cherie Lebel CFS XX 10-06-2010 1 1Child and Family Services Cherie Lebel CFS 9. 10-06-2010 1 1Child and Family Services Cherie Lebel CFS 11. 10-08-2010Manchester Health Dept Aaron Krycki MHD 1. 10-13-2010 1Lead Hazard Grant Program Tim Wood MH 1. 10-13-2010 1Child and Family Services Cherie Lebel CFS XX 10-14-2010 1Lead Hazard Grant Program Tim Wood MH 2. 10-15-2010 1

Client ID (Program Initials-ID#-Visit

Date)

Health, Housing Rehab, and Energy Referrals Made (1=Yes, empty=No)

Fix

•Income eligible residents may qualify for weatherization upgrade, HUD lead paint hazard removal

•Clients referred to programs unknown to them

•Wx program found alternate sources of leveraged funding

City of Manchester• 117 units visited since Sept.

2010• 117 referrals made – 100%• Eleven partnering agencies• Adds 15 minutes to each home

visit• Provides resources for H & S

issues Wx can’t fix

Building on Successes• Finalizing an MOA between partners

committing to “One Touch” model• Belknap-Merrimack moved to all “One

Touch” units with weatherization• SNHS looking to expand partnership• OEP working toward “One Touch” in all

CAP agencies for Wx• OEP partnering with NHHFA for Healthy

Homes training for all Wx auditors

Short Term Goals of theHealthy Homes Steering Committee• Expand Healthy Homes Outreach & Education

• 2-Day Essentials for Healthy Home Practitioners (Winter 2011/ 2012)

• 1-Day Healthy Homes Opportunities for Energy Auditors (August 2011)

• 1st Annual NH Healthy Homes Conference (October 13, 2011)

• Identify funding opportunities for our NH Partners• HUD, CDC, EPA, NCHH, ARC, AHEC, HHLPPP, NFPA, USDA,

CDBG, FEMA

Medium Term Goals of theHealthy Homes Steering Committee • Implement six additional “One-Touch”

Initiatives• Laconia, Franklin, Nashua, Rochester,

Claremont/Newport, Berlin

• Develop a smooth data tracking & referral system • Move from E-Studio to web-based system

Long Term Goals of theHealthy Homes Steering Committee • Increase Healthy Homes policies in place

• Increase the number of lead safe homes

• Increase the number of smoke free housing units

• Decrease the number of asthma hospitalizations and ED visits

• Decrease the number of children with injuries