Designated Housing Rule Health Impact AssessmentBarry KeppardPublic Health ManagerMetropolitan Area Planning Council

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

Scoping

Approaches and Existing Conditions

• Qualitative Approach–Advisory Committee–PHAs and PHA Staff –PHA residents

Approaches and Existing Conditions

• Qualitative Findings

http://artofembodiment.com/wp-content/uploads/2010/08/Pic_See-saw_XSmall_opt.jpg+

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

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

Approaches and Existing Conditions

• Quantitative Findings– Characteristics of PHAs using the rule– Health Conditions of PHA residents– Characteristics of neighborhoods where

located

Approaches and Existing Conditions

• Quantitative Findings

Approaches and Existing Conditions

• Quantitative Findings

Approaches and Existing Conditions

• Quantitative Findings

Assessment Findings

• Approach: Scenarios

1.Advance Efforts to Use Housing as a Platform for Supportive Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources

Housing Trends

Partnership Scenario

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 Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources

Housing

Trends

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 Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources

Housing

Trends

• 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 Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources

Partnership

Scenario

• 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 Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources

Partnership

Scenario

Recommendations

• Advance Efforts to Use Housing as a Platform for Supportive Services

1.Advance Efforts to Use Housing as a Platform for Supportive Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources

1.Advance Efforts to Use Housing as a Platform for Supportive Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.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

Recommendations

• Promote Fair Housing Initiatives to Support Choice in Integrated Community Living

1.Advance Efforts to Use Housing as a Platform for Supportive Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources

1.Advance Efforts to Use Housing as a Platform for Supportive Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.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

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 Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources

1.Advance Efforts to Use Housing as a Platform for Supportive Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.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

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 Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources

1.Advance Efforts to Use Housing as a Platform for Supportive Services2.Promote Fair Housing Initiatives to Support Choice in Integrated Community Living3.Equip PHAs with Data to Inform Strategies and Actions to Improve Neighborhoods Resources

Source: http://egis.hud.gov/cpdmaps/

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