Identifying and treating a substandard housing cluster using a medical-legal partnership.

Abstract:

BACKGROUND AND OBJECTIVE:There is a documented connection between the home environment and health. Medical-legal partnerships (MLPs) can address social and environmental determinants of health. Our objective was to describe a cluster of substandard housing identified and treated by an MLP based in a pediatric primary care setting. METHODS:Potential cases of poor-quality housing were identified during outpatient primary care. A case was defined as any rented housing unit with a reported unaddressed housing risk within a defined building portfolio (owned by a single developer) in which ≥ 1 child lived. An on-site MLP offered affected families legal services including ordinance enforcement and connection to resources. They also initiated portfolio-wide advocacy. Legal advocates reported case outcomes. Medical history and household demographics were collected from the medical record and compared with clinic-wide data by using Fisher's exact test or χ(2) statistics. RESULTS:After identification of a single case, an additional 15 cases were identified. Pest infestation was the most common initial risk identified. Of 14 units with outcome data, repairs were completed in 10 (71%). Of the 19 building complexes with the same owner, 11 received significant systemic repairs. Of the 45 children living within the 16 identified case units, 36% had asthma, 33% had developmental delay or behavioral disorder, and 9% had an elevated lead level. Affected children were more likely to have one of these diagnoses than the general clinic population (all P < .01). CONCLUSIONS:An MLP identified and improved home environmental conditions for children living in a cluster of substandard housing.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Beck AF,Klein MD,Schaffzin JK,Tallent V,Gillam M,Kahn RS

doi

10.1542/peds.2012-0769

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

831-8

issue

5

eissn

0031-4005

issn

1098-4275

pii

peds.2012-0769

journal_volume

130

pub_type

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