Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: New York (cont’d)
Erie County Asthma Response Team (ART)
Erie County Department of Health
Melanie Desiderio, MS
In 2002 the Erie County Asthma Response Team (ART) was initiated by the Erie County Department of Health in Erie, NY.
The goals of ART were to identify and ameliorate environmental triggers in homes of people with asthma; to reinforce and/or provide basic asthma education one-on-one to people with asthma in the comfort and privacy of their homes; to take a care coordination approach in the follow-up with people with asthma and their families to encourage continuing management/control of their disease; and to provide a conduit to community resources through a social service referral network.
ART participants were identified by a health care provider referral or through outreach. An Investigating Public Health Sanitarian completed a visual inspection of each home to identify environmental asthma triggers and design an individualized intervention to ameliorate or eliminate them, including direct remediation, working with landlords, and providing trigger control materials.
Following the physical intervention, an ART Asthma Educator delivered basic asthma education to the families. The education session was comprised of six modules, including a knowledge test and quality of life survey, a review of medications, inhaler technique, peak flow meter use, asthma management plan, and trigger identification/avoidance strategies.
Families were followed over the course of one year with follow-up visits at least every six months. As needed, referrals were made to various community agencies to address family needs.
Program evaluation to date demonstrated a positive impact on healthcare utilization, school absences, work loss, quality of life for parents, asthma severity and symptoms, and functional status.
ART ended in October 2004.
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