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Another Link in the Chain: State Policies and Practices for Case
Management and Environmental Investigation of Lead-Poisoned Children (June
1999) - This report presents information on state policies for
case management and environmental investigation, including: what services
are provided; who is providing these services; how the services are being
paid for; and the availability of evaluation data. This "baseline"
information has never been collected and assembled in a comprehensive
fashion on a state-by-state basis or analyzed at the national level. This
report is intended to document state policies to help sharpen discussion
and decision-making at many levels. (Available from the National Center
for Healthy Housing at www.centerforhealthyhousing.org/Another_Link_in_Chain.pdf
[PDF].)
Another
Link in the Chain: State Policies and Practices for Case Management and
Environmental Investigation of Lead-Poisoned Children - Update (November
2001) [PDF] - This version documents changes since 1998 in
policies and practices for case management and environmental investigation
for lead poisoned children and explores the impact of this report on precipitating
change.
The
Community Tool Kit: An Advocate's Tool for Improving Lead Screening in
Your Community (November 2002) - This toolkit is designed
to serve as a resource for making decisions about targeted lead screening
at the community level.
The
Foundations of Better Lead Screening for Children in Medicaid (April 2001)
- This report showcases strategies from five states where intense effort
has gone into improving lead screening among the high-risk population
of children who are Medicaid beneficiaries. The report’s practical
how-to information is of immediate importance to administrators and staff
of state Medicaid agencies and state and local health departments, as
well as to advocates and policy makers. Among the various topics covered
are: combining lead screening data with Medicaid data; state policies
that support screening and follow-up care; and using maps to simplify
complex information on screening.
Lead
Screening for Children in the Medicaid Program: A Tool Kit (June 2001)
- Contains various resources on lead screening policy for children
served by the Medicaid program, including a set of fact sheets (PDF) on
blood lead screening and case management, health risks from lead exposure,
and tips for preventing lead exposure.
Stuck
in Neutral: States Neglect Lead Testing Duty to Children Served by Medicaid
(August 2005) - Illustrates a 2005 analysis of state data
on lead screening services provided to children eligible for Medicaid,
who are legally entitled to lead tests and who are considered at high
risk for lead poisoning as a group. The report examines data gathered
from forms submitted annually by state Medicaid agencies to the Centers
for Medicare and Medicaid Services (CMS) at the Department of Health and
Humans Services.
Track,
Monitor, and Respond: Three Keys to Better Lead Screening for Children
in Medicaid (September 2001) [PDF] - Highlights promising
strategies for carrying out the policy of the Centers for Medicare and
Medicaid Services (CMS) on lead screening and follow-up care for young
Medicaid beneficiaries. This document will be useful to staff of state
Medicaid agencies and health departments and others who work closely with
health care providers and managed care plans to develop and monitor performance
specifications. This document is divided into three sections designed
to build upon each other: the tracking section contains recommendations
on collecting essential information on lead screening in the Medicaid
population; the Monitoring section has suggestions on strategies for utilizing
this information; and the Responding section is a case-study of a visible
and effective response to health care providers that is based on tracking
and performance monitoring.
Building
Blocks for Primary Prevention: Protecting Children from Lead-Based Paint
Hazards (October 2005) - Identifies and assembles a comprehensive
collection of strategies that merit consideration by state and local governments
and others in position to reduce lead hazards in housing and thereby help
meet the Healthy People 2010 goal of eliminating childhood lead poisoning.
In contrast to case studies that comprehensively analyze a single program,
this project scanned the landscape to identify and describe innovative
and promising strategies at the “building block” level. Building
Blocks produced concise summaries of individual strategies from which
cities and states can select based on their needs and political and economic
realities.
Overcoming
Barriers to Data-Sharing Related to the HIPAA Privacy Rule (June 2004)
[PDF] - Over the past few years, the health care system has devoted considerable
attention to ensuring compliance with the Health Insurance Portability
and Accountability Act of 1996 (HIPAA). A primary focus of HIPAA is improving
the efficiency and effectiveness of health care systems by standardizing
the electronic exchange of administrative and financial data. HIPAA also
established new national standards for protecting the privacy of personal
medical information. This paper reviews HIPAA requirements and exceptions,
focusing on those for public health agencies, and describes permissible
uses of lead-related data under the HIPAA Privacy Rule. Readers are cautioned
that this paper reflects publicly available guidance but does not constitute
legal advice.
Small Area
Analysis of Risk for Childhood Lead Poisoning (May 2001)
[PDF] - This report highlights new research that reveals tragic rates
of lead poisoning in some neighborhoods in seven cities—Detroit,
Philadelphia, Milwaukee, Mobile, Baltimore, Boston, and St. Louis. This
study analyzed existing blood lead screening data collected by state and
local health departments during 1998 (1999 data for St. Louis) and found
that across the seven cities studied, more than 50 percent of the children
with elevated blood lead levels lived in just 11.3 percent of ZIP codes.
This research demonstrates the need to target increased resources to controlling
lead-based paint hazards in highest-risk housing.
Effective
Practices for Enforcing Codes to Ensure Decent Housing Condition (updated
August 2006) [PDF] - This report provides summaries of and
citations for some of the nation’s most innovative state and local
policies and programs that help speed enforcement and compliance for lead
hazard control and other housing code enforcement orders related to dangerous
and hazardous conditions. These strategies have been implemented in a
variety of areas throughout the country and include well-designed enforcement
measures, more efficient use of existing mechanisms and processes, partnerships,
financial incentives for property owners served with lead hazard control
and housing code enforcement orders, and more.
Model
Disclosure Law (updated September 2003) [PDF] - This document
is designed to guide state and local governments wishing to enact lead
hazard disclosure laws. Though all states and localities are covered by
the federal lead hazard disclosure rule, many smaller violations, though
dangerous to children and families, go unenforced by HUD and EPA. State
and local disclosure laws often allow for enforcement actions against
these smaller violators, helping to inform more tenants and homebuyers
of potentially dangerous conditions before anyone is poisoned.
Ten
Effective Strategies for Preventing Childhood Lead Poisoning Through Code
Enforcement (Revised April 2002) - This report briefly reviews
the status of childhood lead poisoning and makes the case for incorporating
lead safety explicitly into code enforcement. The report then outlines
ten strategies for maximizing lead poisoning prevention through code enforcement,
citing programs where work to incorporate these strategies is underway.
(Also available
here in PDF format.)
Action Plan
to Make High-Risk Housing Lead-Safe (July 2000) - This plan
builds on our current understanding of childhood lead poisoning and experience
in prevention to present innovative strategies for identifying and making
high-risk housing lead-safe by the year 2010. This Action Plan also makes
the case for focusing the necessary attention and resources on highest-risk
housing by illustrating how lead safety is an essential first step in
giving millions of children opportunities for good school performance
now and good jobs and incomes later in their lives.
Analysis
of the Housing Stock (October 1999)
[PDF] - Defines and quantifies distressed and marginal housing, the
segments of the US housing stock that pose the greatest risk for lead
hazards. Provides a longitudinal view of the extent to which units are
retired from use and/or undergo other change in their risk status, and
analysis of the characteristics of this high-risk housing as well as the
socioeconomic and neighborhood factors that influence economic and physical
distress.
Innovative Strategies
for Addressing Lead Hazards in Distressed and Marginal Housing: A Collection
of Best Practices (Revised January 2001) - This Best Practices
guide highlights innovative local models that can be adapted to meet the
circumstances and needs of communities working to prevent lead poisoning
in distressed and marginal neighborhoods. (Also available
here in PDF format.)
Hurricane
Aftermath—Health and Housing Fact Sheets (October 2005)
- These fact sheets, created by the Alliance and the National Center for
Healthy Housing (NCHH), were designed for residents returning to hurricane
impact zones. The fact sheets are designed for ease of use by journalists,
community-based organizations, property owners, emergency response personnel,
and residents, and serve as a complement to recovery tips and recommendations
from the U.S. Centers for Disease Control and Prevention and the U.S.
Environmental Protection Agency.
Managing
Hurricane Recovery for Healthy and Affordable Communities (November 2005)
- This Guide is for organizations and agencies
that are working with people affected by recent hurricanes—including
community development corporations, tenant groups, and other advocates
for decent and affordable housing; environmental organizations and environmental
justice advocates; public interest lawyers; health advocates; health care
and social services providers; other helping organizations; and civic
watchdog groups—as well as for policy makers trying to ensure that
recovery benefits everyone, not just a privileged few.
Rebuilding
Water-Damaged Homes: A Manual for the Safe, Healthy, Green, and Low-cost
Restoration of Housing
(Updated September 2009) - This manual was developed through
numerous workshops sponsored by the Alliance for organizations working
to restore homes in the Gulf region following the 2005 hurricane season
and is a practical guide for practitioners. It lays out, through easy-to-read
instructions and clear illustrations, how to clear out, decontaminate,
and restore flood-damaged homes in a safe, healthy and affordable manner.
The manual emphasizes how to make homes better able to withstand high
winds and water intrusion. Healthy homes expert Dennis Livingston is the
illustrator and primary author of the manual.
“Reclaiming
New Orleans’ Working-Class Communities," Chapter 8 in There
Is No Such Thing as a Natural Disaster: Race, Class, and Hurricane Katrina
(Routledge: 2006) [PDF] - This eighth chapter in the first
comprehensive critical book on the impact of Hurricane Katrina on New
Orleans argues that smart, safe, and healthy recovery and rebuilding is
possible and necessary in the communities affected by the storm. The chapter
discusses the conditions necessary for successful rebuilding, makes the
case for citizen participation in all neighborhood and citywide planning,
and looks at the rebuilding process as an opportunity for reducing race
and class disparities. Four Alliance staff authored this chapter. Note:
To order a copy of the entire book, click
here.
Advancing
Lead Safety through CDBG and HOME (November 2000) - This
paper is intended for housing and community development agencies, community
development corporations, and contractors doing paint repair and rehabilitation
projects funded by the Community Development Block Grant (CDBG) and Home
Investment Partnerships (HOME) programs. Its purpose is to explain recent
shifts in approach to making housing lead-safe, identify opportunities
for CDBG and HOME programs to protect children from lead poisoning, highlight
important choices in work practices and planning considerations for properties
undergoing rehab, and describe how to effectively utilize federal resources
to carry out the requirements of HUD’s new lead-safety rule.
Blueprint
for Building Capacity for Lead-Safe Painting and Remodeling (March 2001)
- This document offers a practical vision for achieving lead safety by
building the capacity of anyone conducting work that may disturb lead-based
paint, including painters, remodelers, and rental property owners and
managers. It outlines what is needed to achieve the widespread availability
and adoption of training in lead-safe work practices that will build capacity
for lead-safe painting and remodeling and offers five strategies to make
training courses widely available at low or no cost.
Consolidated Plans and
Lead-Safe Housing (July 2003) - This paper encourages advocates
and other community leaders to use the Consolidated Plan, a federally
mandated plan prepared by all states, cities, counties, and other jurisdictions
that receive any funds from HUD’s CDBG, HOME, and Homeless Assistance
programs, to ensure that lead hazards in housing receive the priority
and attention they deserve. The ConPlan is a three-to five-year, long-range
strategic plan to identify, prioritize, and address a jurisdiction’s
housing and community development needs and to map the planned use of
available housing and community development funds from all sources.
Emerging
and Innovative Strategies for HUD's Lead Hazard Control Grants (April
2000) - This paper highlights innovative, prevention-based
strategies to advance lead safety on a broad scale for consideration by
cities applying for Lead Hazard Control grants and community-based partnering
organizations. HUD solicits applicants for this grant program in the spring
of each year.
Lead
Dust Testing Practices by State Lead Poisoning Prevention Programs: A
Summary of Survey Results (October 2003) [PDF] - This paper
is a summary of an informal survery taken by the Alliance for Healthy
Homes in July 2003 of selected state and local lead poisoning prevention
programs about lead dust testing practices. The purpose of the survey
was to determine the current extent to which lead dust testing is being
utilized in lead poisoning prevention programs nationwide. The results
show significantly broader use of dust testing and growing recognition
of the importance of this tool, as well as significant room for further
progress. The responses also prompt a number of questions that are worth
further exploration.
Lead-Safe
Housing Policy Guidance Series (December 2004) [PDFs] - The
Alliance for Healthy Homes has created a four-part Lead-Safe Housing
Policy Guidance Series to assist state and local policy makers and
government agency staff in establishing a prevention-based framework to
advance lead-safe housing. All documents linked from the Series page are
in PDF format.
Making
Lead-Safe Housing the Central Focus of Strategic Plans to Eliminate Childhood
Lead Poisoning (March 2003) [PDF] - This paper is intended
to guide programs preparing strategic plans as part of the requirements
of CDC's Lead Poisoning Prevention Grants program. It offers several key
recommendations aimed at protecting high-risk communities, building capacity
for lead-safe work practices, expanding resources for prevention, and
encouraging effective action by property owners.
Not
Ready for Prime Time: Electronic Grant Application Submission Requirements
during HUD’s FY 2005 SuperNOFA Process, as experienced by some Healthy
Homes and Lead Hazard Control Applicants (September 2005)
[PDF] - This report summarizes difficulties with HUD's FY 2005 electronic
submission process for lead hazard control and healthy homes grant applicants.
The report's findings were drawn from applicant responses to an Alliance
survey conducted in July 2005.
Being a Lead-Safe Landlord
- This document contains easy instructions for landlords to protect their
tenants against exposure to lead-based paint hazards in rental properties.
Lead Safety Tips for
Tenants - This document contains tips for tenants whose homes
may contain lead-based paint hazards.
Lead-Safe Painting
and Renovation - This guide contains easy-to-follow instructions
for anyone conducting painting or remodeling projects in homes with lead-based
paint.
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