1. Designated Housing Rule Health Impact Assessment Barry Keppard Public Health Manager Metropolitan Area Planning Council

2. Presenter Disclosures (1)The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: Barry Keppard No relationships to disclose

3. Scoping

4. Approaches and Existing Conditions Qualitative Approach – Advisory Committee – PHAs and PHA Staff – PHA residents

5. Approaches and Existing Conditions Qualitative Findings http://artofembodiment.com/wp-content/uploads/2010/08/Pic_See- saw_XSmall_opt.jpg+

6. Approaches and Existing Conditions Literature /Research Review – Public Housing Residents or Eligible Seniors and Persons with Disabilities: Health factors and outcomes – Designated Housing Rule and Fair Housing – Supportive Services and Housing as a Platform for Health 1.Quantitative Approach and Findings

7. Approaches and Existing Conditions Literature /Research Findings – Public Housing Residents or Eligible Seniors and Persons with Disabilities Typically in poorer health – Designated Housing Rule and Fair Housing Discrimination can decrease access – Supportive Services and Housing as a Platform for Health Increase housing stability 1.Quantitative Approach and Findings

8. Approaches and Existing Conditions Quantitative Findings – Characteristics of PHAs using the rule – Health Conditions of PHA residents – Characteristics of neighborhoods where located

9. Approaches and Existing Conditions Quantitative Findings

10. Approaches and Existing Conditions Quantitative Findings

11. Approaches and Existing Conditions Quantitative Findings

12. Assessment Findings Approach: Scenarios 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources Housing Trends Partnership Scenario

13. Assessment Findings Approach: – Senior Households: — /  Affordable Housing Options — /  Financial Constraints  Accessibility of Units and Neighborhoods – Potential Impact:  Physical and Mental Health 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources Housing Trends

14. Assessment Findings Approach: – Younger Disabled Households: — /  Affordable Housing Options — /  Financial Constraints  Accessibility of Units and Neighborhoods – Potential Impact: — /  Physical and Mental Health 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources Housing Trends

15. Approach: – Senior Households: — /  Affordable Housing Options — /  Financial Constraints  Accessibility of Units and Neighborhoods – Potential Impact:  Physical and Mental Health Assessment Findings 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources Partnership Scenario

16. Approach: – Younger Disabled Households: — /  Affordable Housing Options — /  Financial Constraints  Accessibility of Units and Neighborhoods – Potential Impact:  Physical and Mental Health Assessment Findings 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources Partnership Scenario

17. Recommendations Advance Efforts to Use Housing as a Platform for Supportive Services 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources Source: http://homewarrantywiz.com/wp-content/uploads/2012/07/Photo-house-foundation-img-no-159123857-Aug-21-2013.jpg

18. Recommendations Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources Source: http://www.clickhome.com.au/wp-content/uploads/sites/4/2013/08/System_Integration_1.jpg

19. Recommendations Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources Source: http://img1.wikia.nocookie.net/__cb20130529102644/memoryalpha/en/images/4/4f/Data,_2366.jpg

20. Recommendations Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources 1.Advance Efforts to Use Housing as a Platform for Supportive Services 2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living 3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources Source: http://egis.hud.gov/cpdmaps/

21. Designated Housing Rule Health Impact Assessment http://www.pewtrusts.org/hip/housing-and-urban- development-designated-housing-rule-hia.html