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Further Inspection: Integrating Housing Code Enforcement and Social Services to Improve Community Health

Author

Listed:
  • Katharine Robb

    (Ash Center for Democratic Governance and Innovation, Harvard Kennedy School, Cambridge, MA 02138, USA)

  • Ashley Marcoux

    (Ash Center for Democratic Governance and Innovation, Harvard Kennedy School, Cambridge, MA 02138, USA)

  • Jorrit de Jong

    (Ash Center for Democratic Governance and Innovation, Harvard Kennedy School, Cambridge, MA 02138, USA)

Abstract

As a result of working inside homes, city housing inspectors witness hidden and serious threats to public health. However, systems to respond to the range of problems they encounter are lacking. In this study, we describe the impact and enabling environment for integrating a novel Social Service Referral Program within the Inspectional Services Department in Chelsea, MA. To evaluate the first eight months of the program, we used a mixed-methods approach combining quantitative data from 15 referrals and qualitative interviews with six key informants (inspectors, a case manager, and city leadership). The most common services provided to residents referred by inspectors were for fuel, food, and rent assistance; healthcare; hoarding; and homelessness prevention. Half of referred residents were not receiving other social services. Inspectors reported increased work efficiency and reduced psychological burden because of the program. Interviewees described how quality of life improved not only for referred residents but also for the surrounding neighborhood. A simple referral process that made inspectors’ jobs easier and a trusted, well-connected service provider funded to carry out the work facilitated the program’s uptake and impact. Housing inspectors’ encounters with residents present a unique opportunity to expand the public health impact of housing code enforcement.

Suggested Citation

  • Katharine Robb & Ashley Marcoux & Jorrit de Jong, 2021. "Further Inspection: Integrating Housing Code Enforcement and Social Services to Improve Community Health," IJERPH, MDPI, vol. 18(22), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12014-:d:680168
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    References listed on IDEAS

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    1. Krieger, J. & Higgins, D.L., 2002. "Housing and health: Time again for public health action," American Journal of Public Health, American Public Health Association, vol. 92(5), pages 758-768.
    2. Adamkiewicz, G. & Spengler, J.D. & Harley, A.E. & Stoddard, A. & Yang, M. & Alvarez-Reeves, M. & Sorensen, G., 2014. "Environmental conditions in low-income urban housing: Clustering and associations with self-reported health," American Journal of Public Health, American Public Health Association, vol. 104(9), pages 1650-1656.
    3. Khansa Ahmad & Sebhat Erqou & Nishant Shah & Umair Nazir & Alan R Morrison & Gaurav Choudhary & Wen-Chih Wu, 2020. "Association of poor housing conditions with COVID-19 incidence and mortality across US counties," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-13, November.
    4. Lucy Acquaye, 2011. "Low-income homeowners and the challenges of home maintenance," Community Development, Taylor & Francis Journals, vol. 42(1), pages 16-33, January.
    5. Adamkiewicz, G. & Zota, A.R. & Patricia Fabian, M. & Chahine, T. & Julien, R. & Spengler, J.D. & Levy, J.I., 2011. "Moving environmental justice indoors: Understanding structural influences on residential exposure patterns in low-income communities," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 238-245.
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