One Touch Healthy & Energy Efficient Housing Beverly Drouin, Div. of Public Health Dana Nute, Belknap Merrimack CAP Ryan Clouthier, Southern NH Services Nancy 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 Authority Lead hazard control grant, Housing rehab Community Action Program City of Manchester (Manchester Housing Initiatives)

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) Breathe NH (Smoke Free Housing) Radon, Carbon Monoxide Weatherization

Healthy Homes Steering Committee Smoking Cessation Program NH State Fire Marshall Poison Prevention Program

The Opportunity Issue Families Touched/Year Program Provides Home Visits or Repairs Health 1800 Asthma, Lead Poisoning, Head Start, Home Visiting Housing <500 Housing Rehab, Lead Hazard Control Energy (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” Several Strong Partners 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)

Home Health and Safety checklist: second-hand smoke, mold, dust mites lead paint, lead exposure CO Monitors and Smoke Detectors energy efficiency use of pesticides and harsh cleaners clutter that could cause injuries/falls radon or asbestos other 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 One touch continued 15

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

Refer Home visitors refer families in need to regional and statewide organizations that can help with resources

Manchester’s “One-Touch” Developed Two-Side Referral Handout 11 Partners Brief Description of Program Eligibility Criteria Phone Number & Website

Manchester “One-Touch” Developed Data Tracking Spreadsheet 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

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 Other fixes may include less expensive items such as mattress pads, pillow cases greener house products, smoke alarms or CO monitors 20

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 the Healthy 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 the Healthy 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 the Healthy 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