Healthy @ Home

Arizona Home Safety and Family Wellness Assessment

Arizona Department of Health Services created the Healthy @ Home Assessment as part of the Association of State and Territorial Health Officials (ASTHO) and Robert Wood Johnson Foundation (RWJF) quality improvement integration project. The standardized home safety and family wellness assessment integrates environmental health and chronic disease components into the home visiting process. The early childhood home visitor will have an opportunity to optimize the time spent in the home by providing a comprehensive approach to family health. The Healthy @ Home Assessment process recognizes the importance the child’s home settings has on the child’s health by addressing chronic disease in family members. The assessment process helps identify concerns and provide referrals and education in order to improve the health of everyone in the household. The Healthy @ Home Assessment is also an opportunity to focus on environmental issues in the home such as lead poisoning and asthma triggers. The outcome we hope to achieve is that more children and families in Arizona are screened for health and safety concerns and are able to address health and safety concerns in the home and within the family. This process will be a great improvement to identifying home safety and other wellness issues that impact family life in Arizona.

Frequently Asked Questions (FAQs)

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Click the questions below to view their answers.

Why did ADHS create the Healthy @ Home assessment?

ADHS created the Healthy @ Home assessment through a quality improvement project that integrates environmental health and chronic disease components into home visiting programs. The goal is to create a standardized home safety and family wellness assessment and develop a system that identifies, refers and tracks home visiting clients with chronic disease and environmental health needs. This process will be a great improvement to identifying home safety concerns as well as other wellness issues that impact family life in Arizona.

How long will the Healthy @ Home assessment take?

We asked home visitors how long they thought the assessment would take to complete. If all questions are completed, the assessment should take 30 minutes to an hour.

Why Chronic Disease?

Chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, are by far the leading cause of death in the world. The Healthy @ Home Assessment will provide an opportunity to address family members in the home with chronic diseases and provide referrals and education in order to improve family life in the home. This is especially important if a parent has a chronic disease or is responsible for caring for a household member with a chronic disease.

ADHS has partnered with the Arizona Living Well Institute (AZLWI) to provide chronic disease self-management programs. Through the Healthy @ Home assessment, if a need is found, family members can be referred to chronic disease self-management programs which help improve the lives of adults living with chronic diseases.

Why Environmental Health?

Environmental health is very important for home health. The Healthy @ Home Assessment is an opportunity to educate more families on a range of environmental issues in the home such as lead poisoning, mold and asthma triggers. Some expected outcomes are to have more children screened for lead poisoning and to increase knowledge among parents and caregivers about potential environmental risks that combined with home safety education will ultimately decrease preventable injuries and increase wellness among Arizona's children.

What if the family does not want the assessment done?

Make sure the family is aware of the benefits of the assessment to home safety as well as health of all family members. Offer the family another time to complete the assessment. If the family still does not want to participate have them sign and date the last page. ADHS still wants the assessment returned even though it was not completed.

Healthy @ Home Standardized Home Safety and Family Wellness Tool

ADHS developed and piloted the Healthy @ Home standardized home safety and family wellness tool for use by home visitors:

Results of Pilot for Healthy @ Home Assessment
  • 74% of the families identified as needing education or referral received education and/or referrals to chronic disease and/or environmental health resources based on the use of the Healthy@Home Assessment tool – close to meeting target of 80%.
  • 151% increase in the provision of educational materials by home visitors in response to family needs in chronic disease and/or environmental health – exceeded target of 70%.
  • 45% increase in the provision of referrals to either environmental health or chronic disease resources – exceeded target of 30%.
  • 95% of home visitors participating in pilot want to “adopt” the Healthy@Home Assessment tool.
Quotes From Home Visitors on Healthy @ Home Assessment Tool
  • "The Home Assessment in itself is an educational tool as far as parents becoming aware of the various safety issues."
  • "Conducting the Healthy @ Home Assessment was very educating for parent and an eye opener for them to realize that they can do a lot of things to prevent accidents from happening. Also as a home visitor going over the assessment with parents it was great experience."