Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Massachusetts (cont'd)
Boston Healthy Homes Initiative
Boston Public Health Commission
Margaret Reid, RN
The Boston Healthy Homes Initiative began in 2000 and is overseen by the Boston Public Health Commission in Massachusetts. It was created with the hypothesis that a package of home assessments and modifications and repairs to the home would improve the health of Boston children with asthma.
Low-income urban families that have at least one child with asthma receive two home visits from an inspector and a health educator. During these visits, a visual inspection of the home and collection of physical samples is completed. Families are given asthma education on the reduction of asthma triggers, Integrated Pest Management services and low cost IPM supplies, air conditioners, allergy blocking mattress and pillow covers and house cleaning, and when necessary duct cleaning, HEPA filter vacuums and, for a subset of participants, $2500 worth of remediation such as improving kitchen and bathroom ventilation, repairing leaks, removing mold and removing carpeting. Follow up phone calls are made every two months for a year, and last about 15 minutes. The timing of the second home visit varies greatly among participating families depending on the intensity of the work being done in the home.
Evaluations to date have indicated a positive impact on several health outcomes for children with asthma. The program is ongoing.
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