One Touch: Creating Healthy
and Energy Efficient Housing
Ellen Tohn
g
Tohn Environmental Strategies
2014
The
SlideNeed
Title
• H
Home visiting
i i i programs h
have
limited scope, while family
needs are broad
broad.
• Opportunities to connect
families to services are
missed.
• Opportunities to reduce
program costs (e.g., intake,
wasted visits)
One Touch
Slide Title
Solution
• More effective programs thru e-referrals
• Added health services to reduce health care
expenses and improve health outcomes
• Reduced
educed e
energy
e gy use, add
addressing
ess g cclimate
ate
change and lowering family energy bills
• Effective coalitions with public private
partnerships collaboration to fill gaps in service
OurSlide
Resources
Title
3–2–1
The Omaha
Slide Opportunity
Title
Issue
Families
F
ili
P
Program
P
Provides
id H
Home Vi
Visits
it or
Touched/Year
Repairs
Health
2200
Lead, Head Start,
Lead
Start Home Visiting (#’s
(# s not
included)
Energy
1150
Weatherization, reEnergize, Utility-Funded
Upgrades
Housing
(400 llow iincome))
200
Housing Rehab & Repairs
The NH
Slide
Opportunity
Title
Issue
Families
F
ili
P
Program
P
Provides
id H
Home Vi
Visits
it or
Touched/Year
Repairs
Health
1800
Energy
1800
Housing
(1 000 llow iincome))
(1,000
<500
Asthma, Lead Poisoning
Asthma
Poisoning, Head Start
Start, Home
Visiting
Weatherization, Utility-Funded Energy
Upgrades
Housing Rehab, Lead Hazard Control
The Vermont Opportunity
Families/yr
Health
Energy
Upgrade
s
Housing
Rehab
7 000
7,000
2,700 –
4,700
1300+
Central VT
Families/yr
y
15 Lead
125 Head
Start
400 CIS
325 WAP
65 repairs
50 coaching
market
k t rate
t
200
Statewide Home Visit
or Repair
p Programs
g
50 Lead Poisoning
575 Head Start (1500 total)
4500 Pregnant Women and
Children (Dept. Health CIS)
1700 Weatherization &
Repairs
3000 audits, 1000 Completed
Upgrades Efficiency VT
1100 Housing Rehab &
Repairs
50 Lead Hazard Control
50 Healthy Homes Repairs
100 USDA Rural
Development
Health Benefits
Slide
From
TitleEnergy Work
Compared to young children in eligible families,
who do NOT receive LIHEAP, those who do are:
• 20% less likely to be underweight for age or
length and
• 30% less likely to require admission on the day
s ga
an e
emergency
e ge cy room.
oo
visiting
Frank et al
al. Heat or Eat: The Low Income Energy Assistance Program
and Nutritional Risk Among Children Less Than 3 Years of Age,
Pediatrics, 2006.
New Energy
Slide
Efficient
Title Homes
Significant Health Improvements
Symptom
EE Homes
Control Homes
P-value
Runny Nose
-28%
-16%
0.010
Sneezing
-28%
-16%
0.020
Throat irritation
-31%
-17%
0.004
Cough
-36%
-20%
0.002
Fatigue
g
-37%
-23%
0.009
Irritability
-39%
-22%
0.002
Leech et al. Indoor Air 2004
Watts and Well Being: 248 homes
Adults reported a 0.29 point improvement in
mean health score (3.07 to 2.78, p<0.001).
Watts & Well Being: Health Gains
Reduced sinus
infections
Reduced asthma
medication use;
mixed results on
symptoms
t
Decline in high
blood pressure
Families Need
SlideAdded
Title Services
NH
• 329 h
homes
• 70% needed at least one referral
• Over 650 done to date
Omaha
• 400 homes
• 50% needed at least one referral
• 25% needed 2 or more
• Nearly 1000 done to date
Most Common
Slide Title
Referrals
•
•
•
•
•
•
Lead
Weatherization/energy
Smoking Cessation
Child & Family Services
Asthma
H
Housing
i R
Rehab
h b
Automated E-Referrals
Referral Partners Omaha
Omaha Healthy Kids Alliance Alliance (OHKA) is a non‐profit
non profit
organization dedicated to promoting lead‐safe and healthy housing for children and families in Omaha. Since its inception, OHKA has provided education and assistance to families throughout the city. For more information, please call 402‐934‐9700 or visit omahahealthykids.org R f er r als
Ref
l made
d t oday:
d
•"Get the Lead Out!" ‐ Free or discounted testing, labor, paint & supplies for families with children under 7
•Home energy efficiency & upgrades (Windows, insulation, & HVAC) for qualifying homes
•Roof & Repair Program ‐ Homeowners in need of roof repair •Restore ‐ Building materials
i l & fixtures
fi
f
for
50‐70% off Omaha Healthy Kids Alliance (402) 934‐9700 Weatherization Trust, Inc. (402) 342‐3524 Habitat for Humanity (402) 457‐5657 • Lead hazard control
in pre‐1978 homes with children under 7. •General rehab for lead, radon, and external maintenance •Incentives for home
energy efficiency & upgrades (Windows, insulation, & HVAC) •Housing repairs for
homeowners who are disabled and/or over 62 City of Omaha (
(402)
) 444‐5150
reEnergize (
(877)
) 402‐5111
Rebuilding Together
(402) 965‐9201 •Case management for children with lead levels and free home dust testing and education
•Free tools to help you quit smoking •Assistive Technology Partnership provides help to indivduals and home upgrades to help people remain
independent Douglas County Health Dept. (402) 444‐7825 Tobacco Quit Line 800‐QUIT‐NOW ATP (888) 806‐6287 Partners Have Access to Data
NH Referral
SlideCommitments
Title
• MOU among Health,
H lth
Housing, and Weatherization
• Lead to track referrals
statewide
Housing
g
• MCH home visits complete
Health
One Touch assessments &
WX
e-referrals
e
referrals
• Head Start to encourage
One Touch e-referrals
Omaha
SlideBenefits
Title
• Secured Kresge Healthy Homes Grant
• Assisting City maintain Weatherization
presence
• Co
Connections
ect o s to Rebuilding
ebu d g a
and
d Habitat
ab tat
• Survives change in Mayor
• Will position them for HUD collaboration points
Fitchburg
Slide
MA
Title
Benefits
• Collaborating on projects regularly
– Weatherization
– Housing Rehab
– Lead
– Injury Prevention
• Code e
enforcement
o ce e e
engaged
gaged in p
problem
ob e so
solving,
g,
looking to integrate with new software
Typical
SlideTimeline
Title
One Touch Program
g
((8 Months))
Inventory Partners
Kick Off Meetings
g
Select
Communities
E
Engage
P
Partners
t
Develop Assessment & Referral Tools (2 Months)
Pilot Test Tools and Refine
((2 Months))
Develop Check up
Forms
Explore Electronic
R f
Referral
l
Approaches
Engage
g g Partners
Test in 2 Locations
Modify Check up
Resolve Issues with
Electronic Referrals
Sign Compact/MOU
Big Vision – Small Steps
Moving
Slide
Forward
Title
Spread The Word.... One Touch can happen
without significant new funding
Contact: Ellen Tohn, Tohn Environmental Strategies
508-358-7770; [email protected]