Social Risk Factors & Health - National Healthy Homes Conference

Report
Effective Housing & Health MultiSector Collaborations in Boston, MA
• Moderator
– Margaret Reid, Boston Public Health Commission
• Panelists
– Indira Alvarez, Boston Inspectional Services Dept.
– Eugene Barros, Boston Public Health Commission
– Dion Irish, Boston Office of Fair Housing and Equity
– John Kane, Boston Housing Authority
– Megan Sandel, Boston University Schools of
Medicine and Public Health
Timeline of Boston Healthy Homes
Collaborations
1999
BPHC
establishes
Healthy
Housing
Office
2005
Breathe
Easy at
Home is
piloted
2006
Healthy
Pest Free
Housing
Initiative
2010
BHA
announces
smoke free
housing
2012
Rental
Registration
and
Inspection
Ordinance
2014
Office of
Fair
Housing
and
Equity
Foundations of our
Working Relationships
• What responsibility does each organization
have for healthy housing?
• What key functions do we bring to the
collaboration?
• How does each organization benefit from this
collaboration?
• How we work together?
– Facilitating factors?
– How have we operationalized our work?
Breathe Easy At Home Partnership
• Piloted in 2005, Kick-off 2006
• Partnership between Inspectional Services
Department (ISD), Boston Public Health
Commission and medical partners like Boston
Medical Center
• Medical Providers register and make referrals
via internet directly to ISD
• ISD puts updates on website and email
• Award winning collaboration (NACCHO, EPA)
Breathe Easy at Home Referrals, 2005-2013
250
233
238
219
200
176
182
171
# of referrals
2005 PILOT
2006 LAUNCH
150
2007 PT Coordinator
128
2008 FT Coordinator
2009
2010
100
2011
2012
2013
60
50
16
0
Year
Healthy Pest Free Public Housing
• Supported by W. K. Kellogg Foundation
• Partnership between Boston Public Health
Commission, Boston Housing Authority,
Committee for Boston Public Housing and
Boston University School of Public Health
• Multi-pronged intervention with standardized
IPM contracts for developments, resident
education, and pesticide buy back
• Reductions in work orders for pests
Smoke Free Public Housing
• Boston Housing Authority began process to go
Smoke Free with all rental housing in 2010
and implemented in 2012
• Collaboration between Boston Housing
Authority, Boston Public Health Commission
and Committee for Boston Public Housing for
resident outreach/education
• Boston Public Health Commission also began
Smoke free rental housing list serve and
technical assistance/training
25
23.7
23.6
22
% of adult with asthma
20.5
20
16.4
15
13
9.8
9.4
10
8.1
BHA
5
RA
Neither BHA nor RA
0
2006
2008
2010
Year
Current Asthma Among Boston Adults
by Housing Type
Rental Registration and
Inspection Ordinance
• In 2012, Boston City Council Passed a Rental
Registration and Inspection Ordinance
• Requires annual registration of all 150,000
private rental units in Boston with contact
phone number, in state agent
• All units inspected every 5 years
• Important advocacy to pass ordinance from
medical providers, tenant advocates, public
health partners
Timeline of Boston Healthy Homes
Collaborations
1999
BPHC
establishes
Healthy
Housing
Office
2005
Breathe
Easy at
Home is
piloted
2006
Healthy
Pest Free
Housing
Initiative
2010
BHA
announces
smoke free
housing
2012
Rental
Registration
and
Inspection
Ordinance
2014
Office of
Fair
Housing
and
Equity
Office of Fair Housing and Equity
• In 2014, Boston’s Office of Fair Housing was
renamed to include Equity
• Includes health equity as an important
principle and goal of fair housing
• Protects the rights of the disabled to healthy
housing.
• Promotes healthy housing opportunities
– Smoke-free housing registry
– Resident and landlord outreach
• Inspection (20,000 yearly)
• Rental Ordinance
• BEAH inspections
Inspectional
Services
• Health data
• Public awareness and
information
• Asthma Home Visits
• Research and
evaluation
• Grant writing
• BEAH management
Boston Public
Health
Commission
• BEAH referrals
• Assessing patient
for env health
• Research
• Medical legal
partnership support
• Policy advocacy
• Grant writing
-Community Residents
-Clients
-Patients
-Advocacy groups
-Tenants groups
- Public Officials
Boston Medical
Center
Boston Office of
Fair Housing
and Equity
Boston Housing
Authority
• Data
monitoring/collection
• Investigation
• Enforcement
• Education and outreach
• Adopting smoke-free
homes registry
• Home to 25,000
residents
• Section 8
administrator
• IPM policy
• Smoke free housing
• Healthy design and
construction
• Resident education

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