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Well Homes Initiative: A Home-Based Intervention to Address Housing-Related Ill Health

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Title: Well Homes Initiative: A Home-Based Intervention to Address Housing-Related Ill Health
Language: English
Authors: Pierse, Nevil (ORCID 0000-0002-2726-8141), White, Maddie, Ombler, Jenny, Davis, Cheryl, Chisholm, Elinor, Baker, Michael, Howden-Chapman, Philippa (ORCID 0000-0002-1529-6735)
Source: Health Education & Behavior. Dec 2020 47(6):836-844.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Peer Reviewed: Y
Page Count: 9
Publication Date: 2020
Document Type: Journal Articles
Reports - Research
Descriptors: Housing, Housing Needs, Intervention, Foreign Countries, Child Health, Home Visits, Physical Environment, Social Services
Geographic Terms: New Zealand
DOI: 10.1177/1090198120911612
ISSN: 1090-1981
Abstract: Background: Six thousand children are hospitalized each year in New Zealand with housing sensitive conditions, and 86.2% of these children are rehospitalized during childhood. The Healthy Homes Initiative, set up by the Ministry of Health, and implemented in Wellington through Well Homes, carries out housing assessments and delivers a range of housing interventions. Method: Housing assessments were carried out by trained community workers. Philanthropic funding was received for the interventions through a local charitable trust. Results: Well Homes saw 895 families. Mold in the home was the most commonly recorded area of poor housing quality, in 836 homes (93%). Partial or complete lack of insulation was also common, with 452 records (51%) having a documented need for further assessment and either an upgrade or full installation. Eighty-three percent of homes had insufficient sources of heating. A total of 5,537 interventions were delivered. Bedding, heaters, and draft stopping were delivered over 90% of the time. In contrast, insulation and carpets were only delivered 40% of the time. Interventions were least likely to be delivered in private rental housing. Discussion: Targeted interventions using social partnerships can deliver housing improvements for relatively little health spending. Well Homes provides immediate and practical interventions, education, connection with social agencies, and advocacy for more substantial structural home improvements to help families keep their home warmer, drier, and healthier. This approach will be strengthened when combined with a new regulatory framework to raise the standards of private rental housing.
Abstractor: As Provided
Entry Date: 2020
Accession Number: EJ1274062
Database: ERIC
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  Data: Well Homes Initiative: A Home-Based Intervention to Address Housing-Related Ill Health
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  Data: <searchLink fieldCode="AR" term="%22Pierse%2C+Nevil%22">Pierse, Nevil</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-2726-8141">0000-0002-2726-8141</externalLink>)<br /><searchLink fieldCode="AR" term="%22White%2C+Maddie%22">White, Maddie</searchLink><br /><searchLink fieldCode="AR" term="%22Ombler%2C+Jenny%22">Ombler, Jenny</searchLink><br /><searchLink fieldCode="AR" term="%22Davis%2C+Cheryl%22">Davis, Cheryl</searchLink><br /><searchLink fieldCode="AR" term="%22Chisholm%2C+Elinor%22">Chisholm, Elinor</searchLink><br /><searchLink fieldCode="AR" term="%22Baker%2C+Michael%22">Baker, Michael</searchLink><br /><searchLink fieldCode="AR" term="%22Howden-Chapman%2C+Philippa%22">Howden-Chapman, Philippa</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-1529-6735">0000-0002-1529-6735</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+%26+Behavior%22"><i>Health Education & Behavior</i></searchLink>. Dec 2020 47(6):836-844.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
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  Data: <searchLink fieldCode="DE" term="%22Housing%22">Housing</searchLink><br /><searchLink fieldCode="DE" term="%22Housing+Needs%22">Housing Needs</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Health%22">Child Health</searchLink><br /><searchLink fieldCode="DE" term="%22Home+Visits%22">Home Visits</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+Environment%22">Physical Environment</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Services%22">Social Services</searchLink>
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  Data: 10.1177/1090198120911612
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  Data: 1090-1981
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  Data: Background: Six thousand children are hospitalized each year in New Zealand with housing sensitive conditions, and 86.2% of these children are rehospitalized during childhood. The Healthy Homes Initiative, set up by the Ministry of Health, and implemented in Wellington through Well Homes, carries out housing assessments and delivers a range of housing interventions. Method: Housing assessments were carried out by trained community workers. Philanthropic funding was received for the interventions through a local charitable trust. Results: Well Homes saw 895 families. Mold in the home was the most commonly recorded area of poor housing quality, in 836 homes (93%). Partial or complete lack of insulation was also common, with 452 records (51%) having a documented need for further assessment and either an upgrade or full installation. Eighty-three percent of homes had insufficient sources of heating. A total of 5,537 interventions were delivered. Bedding, heaters, and draft stopping were delivered over 90% of the time. In contrast, insulation and carpets were only delivered 40% of the time. Interventions were least likely to be delivered in private rental housing. Discussion: Targeted interventions using social partnerships can deliver housing improvements for relatively little health spending. Well Homes provides immediate and practical interventions, education, connection with social agencies, and advocacy for more substantial structural home improvements to help families keep their home warmer, drier, and healthier. This approach will be strengthened when combined with a new regulatory framework to raise the standards of private rental housing.
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      – SubjectFull: Housing Needs
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      – SubjectFull: Child Health
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