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

Katharine Robb, Ashley Marcoux and Jorrit de Jong
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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

IJERPH, 2021, vol. 18, issue 22, 1-13

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.

Keywords: housing; code enforcement; urban health; housing inspection; social services; collaboration (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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