Covid-19 Home Sign-Posts
Current Thinking in Health & Home for those in need
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The Integral Living Research (ILR) group advocates for five foundational principles in the urban housing environment: 1) privacy, 2) security, 3) access to healthy nourishment, 4) access to green space, and 5) self-efficacy enhancement through a culture of care and creativity. These principles have emerged from almost a decade of work in communities of need and are intended to guide designers working towards solutions to reduce stress and enhance health for urban families. In this paper, we examine and analyze best practices in WELL Buildings’ pandemic response guide among others, within the framework of housing, specifically single-family urban housing. Here, within the 2020 pandemic, best practices for alleviating the challenges of the urban single-family home in an underserved community are considered. In this analysis, five areas of focus called “COVID-19 Home Signposts” have emerged and been given additional lenses of equity and access. We describe those inequities and consider how to improve pandemic housing health for those in at-risk communities. We identify further areas for empirical study that are urgent: 1) to promote better understanding of how home, health, and housing improvement all play a role in addressing the COVID-19 pandemic; and 2) to devise appropriate strategies for addressing the fault lines in our cities and our society.
Alaimo, Katherine, Alyssa W. Beavers, Caroline Craw-ford, Elizabeth Hodges Snyder, and Jill S. Litt. 2016. “Amplifying Health Through Community Gardens: A Framework for Advancing Multicomponent, Behav-iorally Based Neighborhood Interventions.” Current Environmental Health Reports 3 (3): 302–12. https://doi.org/10.1007/s40572-016-0105-0.
Allen, John S. 2015. Home: How Habitat Made Us Human. 1 edition. New York, NY: Basic Books.
Arup. 2020. “BUS Methodology.” Bus Methodology. 2020. https://busmethodology.org.uk/.
Bandura, Albert. 1977. “Self-Efficacy: Toward a Unify-ing Theory of Behavioral Change.” Psychological Re-view 84 (2): 191–215. https://doi.org/10.1037/0033-295X.84.2.191.
———. 1997. Self-Efficacy: The Exercise of Control. Self-Efficacy: The Exercise of Control. New York, NY, US: W H Freeman/Times Books/ Henry Holt & Co.
Bennett, Drake. 2008. “The Sting of Poverty.” Bos-ton.Com, March 2008. http://archive.boston.com/bostonglobe/ideas/articles/2008/03/30/the_sting_of_poverty/?page=full:
Caldwell, Jeff. 2020. “How Covid-19 Is Impacting Vari-ous Points in the US Food & Ag Supply Chain.” Ag-FunderNews, April 16, 2020, sec. AgTech. https://agfundernews.com/how-covid-19-is-impacting-various-points-in-the-food-ag-supply-chain.html.
CDC. 2020a. “Coronavirus Disease 2019 (COVID-19).” Centers for Disease Control and Prevention. Febru-ary 11, 2020. https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html.
———. 2020b. “Coronavirus Disease 2019 (COVID-19) - Checklist for Individuals and Families.” Govern-mental agency communication. Centers for Disease Control and Prevention. February 11, 2020. https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/checklist-household-ready.html.
———. 2020c. “Coronavirus Disease 2019 (COVID-19) Cleaning and Disinfecting Your Home.” Centers for Disease Control and Prevention. February 11, 2020. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/disinfecting-your-home.html.
———. 2020d. “Coronavirus Disease 2019 (COVID-19) Prevent Getting Sick.” Centers for Disease Con-trol and Prevention. February 11, 2020. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/index.html.
Center for Disease Control. 2020. “Hierarchy of Con-trols | NIOSH | CDC.” June 17, 2020. https://www.cdc.gov/niosh/topics/hierarchy/default.html.
Centers for Disease Control and Prevention, U.S. De-partment of Housing and Urban Development. 2006. “Centers for Disease Control and Prevention and U.S. Department of Housing and Urban Development Healthy Housing Reference Manual.” Atlanta: US De-partment of Health and Human Services. https://www.cdc.gov/nceh/publications/books/housing/housing.htm.
Chanell Baylor. 2014. “Trauma-Informed Approach and Trauma-Specific Interventions.” Text. April 25, 2014. https://www.samhsa.gov/nctic/trauma-interventions.
Chen, C. 2020. Judy emergency kit review: What’s inside, is it worth it—Business Insider. Retrieved De-cember 7, 2020, from
https://www.businessinsider.com/judy-emergency-kit-review
Choi, Keith, and JH Bloomberg School of Public Health. n.d. “Can a Mask Protect Me? Putting Home-made Masks in the Hierarchy of Controls.” Johns Hopkins Bloomberg School of Public Health. Ac-cessed June 27, 2020. https://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-education-and-research-center-for-occupational-safety-and-health/can-a-mask-protect-me-putting-homemade-masks-in-the-hierarchy-of-controls.
Clear, James. 2018. Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones. 1st edi-tion. New York: Avery.
Coles, Richard, and Zoe Millman, eds. 2013. Land-scape, Well-Being and Environment. 1 edition. Lon-don; New York: Routledge.
Corburn, Jason, David Vlahov, Blessing Mberu, Lee Riley, Waleska Teixeira Caiaffa, Sabina Faiz Rashid, Albert Ko, et al. 2020. “Slum Health: Arresting COVID-19 and Improving Well-Being in Urban Informal Set-tlements.” Journal of Urban Health 97 (3): 348–57. https://doi.org/10.1007/s11524-020-00438-6.
Day, Brett H. 2020. “The Value of Greenspace Under Pandemic Lockdown.” Environmental & Resource Economics, August, 1–25.
https://doi.org/10.1007/s10640-020-00489-y.
Donald Moore. 2020. “Poor and Minority Workers Are Least Likely to Be Able to Work From Home - Bloomberg.” Bloomberg, March 20, 2020. https://www.bloomberg.com/news/articles/2020-03-20/poor-and-minority-workers-are-least-likely-to-be-able-to-work-from-home.
Donovan, Geoffrey H., Yvonne L. Michael, Demetrios Gatziolis, Andrea ’t Mannetje, and Jeroen Douwes. 2019. “Association between Exposure to the Natural Environment, Rurality, and Attention-Deficit Hyperac-tivity Disorder in Children in New Zealand: A Linkage Study.” The Lancet Planetary Health 3 (5): e226–34. https://doi.org/10.1016/S2542-5196(19)30070-1.
Du, Jillian, Robin King, and Radha Chanchani. 2020. “Tackling Inequality in Cities Is Essential for Fighting COVID-19.” NGO. World Resources Institute. April 14, 2020. https://www.wri.org/blog/2020/04/coronavirus-inequality-cities.
FEMA. 2020a. “Sixty Percent of Americans Not Prac-ticing for Disaster.” 2020. https://www.fema.gov/news-release/2015/04/28/sixty-percent-americans-not-practicing-disaster-fema-urges-everyone-prepare.
———. 2020b. “Prepare Your Family at Ready.Gov.” Governmental agency communication. Ready.Gov. October 2020. https://www.ready.gov/kids/families.
Fisher, Max, and Emma Bubola. 2020. “As Corona-virus Deepens Inequality, Inequality Worsens Its Spread.” The New York Times, March 15, 2020, sec. World. https://www.nytimes.com/2020/03/15/world/europe/coronavirus-inequality.html.
Fitwel. 2020. “Research to Action: Building Health for All® in the Face of COVID-19 Chapter 5 Addressing Health Disparities in the Built Environment.” Reports and Assessments. Center for Active Design. https://www.fitwel.org/resources/#publications.
Food Empowerment Project. 2020. “Food Deserts* | Food Empowerment Project.” 2020. https://foodispower.org/access-health/food-deserts/.
Gero, Justin. 2020. “Environmental Health Programs.” 2020. https://nurseledcare.phmc.org/programs/environmental-health-programs.html.
Harvard T.H. Chan School of Public Health. 2020. “Homes for Health.” Empirical Study. Homes for Health. 2020. https://homes.forhealth.org/.
Health Resources & Services Administration. 2018. “MUA Find.” Governmental Information. MUA Find. 2018. https://data.hrsa.gov/tools/shortage-area/mua-find.
Huong, Uy, and Nicholas R. Jones. 2020. “Is There an Association between Exposure to Air Pollution and Severity of COVID-19 Infection?” The Centre for Evi-dence-Based Medicine. https://www.cebm.net/covid-19/is-there-an-association-between-exposure-to-air-pollution-and-severity-of-covid-19-infection/.
International WELL Building Institute. 2020a. “Stand-ard | WELL V2.” Information. Well V2. 2020. https://v2.wellcertified.com/v/en/overview.
———. 2020. “Standard | WELL V2.” 2020. https://v2.wellcertified.com/v/en/overview.
———. 2020b. “Strategies from the WELL Building Standard to Support in the Fight Against COVID-19.” https://resources.wellcertified.com/tools/strategies-from-the-well-building-standard-to-support-in-the-fight-against-covid-19.
IWA. 2020. “COVID-19 and ‘Chasing for Water’ – Wa-ter Access in Poor Urban Spaces.” International Wa-ter Association (blog). 2020. https://iwa-network.org/covid-19-and-chasing-for-water-water-access-in-poor-urban-spaces/.
IWBI. 2018a. “Comfort | WELL Standard.” 2018. https://standard.wellcertified.com/comfort?_ga=2.263360399.2063841102.1546556109-1039530917.1546556109.
———. 2018b. “Mind | WELL Standard.” 2018. https://standard.wellcertified.com/mind.
Jordan Crook. 2020. “Harbor, an Emergency Prepar-edness Platform, Picks up $5 Million in Seed Fund-ing.” TechCrunch (blog). August 2020. https://social.techcrunch.com/2020/08/27/harbor-an-emergency-preparedness-platform-picks-up-5-million-in-seed-funding/.
Kaplan, Stephen. 1995. “The Restorative Benefits of Nature: Toward an Integrative Framework.” Journal of Environmental Psychology, Green Psychology, 15 (3): 169–82. https://doi.org/10.1016/0272-4944(95)90001-2.
Kern, David M., Amy H. Auchincloss, Mark F. Stehr, Ana V. Diez Roux, Latetia V. Moore, Genevieve P. Kanter, and Lucy F. Robinson. 2017. “Neighborhood Prices of Healthier and Unhealthier Foods and Asso-ciations with Diet Quality: Evidence from the Multi-Ethnic Study of Atherosclerosis.” International Jour-nal of Environmental Research and Public Health 14 (11). https://doi.org/10.3390/ijerph14111394.
Kopec, Dak. 2012. Environmental Psychology for De-sign. 2 edition. New York: Fairchild Books.
———, ed. 2017a. “Traditional and Alternative Ap-proaches to Health and Well-Being.” In Health and Well-Being for Interior Architecture, 1 edition. New York: Routledge.
———, ed. 2017b. “Co-Producing Our Habitat for Health and Well-Being.” In Health and Well-Being for Interior Architecture, 1st Edition, 40–60. Routledge.
Leaman, Adrian. 2003. “User Needs and Expecta-tions.” In Buildings, Culture and Environment, edited by Raymond J. Cole and Richard Lorch, 154–76. Blackwell Publishing Ltd. https://doi.org/10.1002/9780470759066.ch10.
LexisNexis. 2020. “Mitigate Hospital Readmission Risk.” LexisNexis Risk Solutions. 2020. https://risk.lexisnexis.com/insights-resources/white-paper/mitigate-hospital-readmission-risk.
Lim, Valina. 2015. “Substance Abuse and Mental Health Services Administration: Eight Dimensions of Wellness.” Text. SAMHSA, Eight Dimensions of Well-ness. 2015. https://www.samhsa.gov/wellness-initiative/eight-dimensions-wellness.
Maddock, Jay, Bita Kash, and Taylor Keys. 2020. “Our Need for the Outdoors: The Role of Nature During COVID-19.” JPHMP Direct (blog). April 30, 2020. https://jphmpdirect.com/2020/04/30/our-need-for-the-outdoors-the-role-of-nature-during-covid-19/.
Marcus, Clare Cooper. 1995. House As a Mirror of Self: Exploring the Deeper Meaning of Home. First Printing edition. Berkeley, Calif: Conari Pr.
Matt Mullenweg. 2020. “Coronavirus and the Remote Work Experiment No One Asked For.” March 6, 2020. https://ma.tt/2020/03/coronavirus-remote-work/.
Michael, Yvonne. 2015. “Survey of Food Access and Community Gardens in Mantua Neighborhood in Philadelphia.” Unpublished Manuscript.
Morey, Jennifer N., Ian A. Boggero, April B. Scott, and Suzanne C. Segerstrom. 2015. “Current Directions in Stress and Human Immune Function.” Current Opin-ion in Psychology 5 (October): 13–17. https://doi.org/10.1016/j.copsyc.2015.03.007.
Nicholas, Diana, and Yvonne Michael. 2017. “Design-ing with Dignity: Health and Design Research for Un-derserved Communities.” The Plan Journal 1 (2). https://doi.org/10.15274/tpj.2016.01.02.06.
Nicholas, Diana, Yvonne Michael, and Shivanthi Anandan. 2020. “Integral Living Research: Synergies in Research, Advocacy, and Healthy Living.” In DRS 2020 Synergies, 3 Co-Creation:1297–1314. Brisbane Australia. https://doi.org/10.21606/drs.2020.274.
Office of the Surgeon General (US). 2009. The Sur-geon General’s Call to Action to Promote Healthy Homes. Publications and Reports of the Surgeon General. Rockville (MD): Office of the Surgeon Gen-eral (US). http://www.ncbi.nlm.nih.gov/books/NBK44192/.
Penn Medicine. 2020. “Designing Enhanced Risk Pre-diction Models for Hospital Readmission | Penn Med-icine Nudge Unit.” University Research Lab. 2020. https://nudgeunit.upenn.edu/projects/designing-enhanced-risk-prediction-models-hospital-readmission.
Sara Warber, Katherine Irvine, Patrick Devine-Wright, and Kevin Gaston. 2013. “Modelling Well Being and the Relationships Between Individuals and Their Environments.” In Landscape, Well-Being and Environment, edited by Richard Coles and Zoe Mill-man, 1 edition. London?; New York: Routledge.
Sothern Poverty Law Center. 1991. “Teaching Toler-ance | Diversity, Equity and Justice.” Teaching Toler-ance. 2020 1991. https://www.tolerance.org/.
Sternberg, Esther M. 2009. Healing Spaces: The Sci-ence of Place and Well-Being. 1 edition. Cambridge, Mass: Belknap Press of Harvard University Press.
Taub, Amanda. 2020. “A New Covid-19 Crisis: Domes-tic Abuse Rises Worldwide.” The New York Times, April 6, 2020, sec. World. https://www.nytimes.com/2020/04/06/world/coronavirus-domestic-violence.html.
“Teaching Tolerance - Diversity, Equity and Justice.” 2017. 2017. https://www.tolerance.org/.
Terrapin Bright Green. 2014. “14 Patterns of Biophilic Design.” September 12, 2014. http://www.terrapinbrightgreen.com/reports/14-patterns-of-biophilic-design/.
Thoits, Peggy A. 2010. “Stress and Health: Major Find-ings and Policy Implications.” Journal of Health and Social Behavior 51: S41–53. http://www.jstor.org/stable/20798315.
Turner, John F. C., and Colin Ward. 2000. Housing by People: Towards Autonomy in Building Environments. London: Marion Boyars Publishers Ltd.
Ugolini, Francesca, Luciano Massetti, Pedro Calaza-Martínez, Paloma Cariñanos, Cynnamon Dobbs, Silvija Krajter Ostoi?, Ana Marija Marin, et al. 2020. “Effects of the COVID-19 Pandemic on the Use and Percep-tions of Urban Green Space: An International Explor-atory Study.” Urban Forestry & Urban Greening 56 (December): 126888.
https://doi.org/10.1016/j.ufug.2020.126888.
Ungar, Laura, and Elizabeth Lucas. 2020. “Millions Stuck at Home with No Plumbing, Kitchen or Space to Stay Safe.” TCA News Service, May 13, 2020. http://search.proquest.com/docview/2401574540?pq-origsite=summon.
Urban Health Collaborative. 2019. “Home Preserva-tion Initiative.” Urban Health Collaborative. July 17, 2019.
https://drexel.edu/uhc/projects/themes/home-preservation-initiative/.
Vesoulis, Abby. 2020. “Coronavirus May Dispropor-tionately Hurt the Poor—And That’s Bad for Every-one.” Time Magazine, March 11, 2020. https://time.com/5800930/how-coronavirus-will-hurt-the-poor/.
Wallace, A., T. Papke, E. Davisson, K. Spooner, and L. Gassman. 2017. “Provider Opinions and Experiences Regarding Development of a Social Support Assess-ment to Inform Hospital Discharge: The Going Home Toolkit | Ovid.” Professional Case Management 22 (5): 214–27. https://doi.org/doi: 10.1097/ NCM.0000000000000234.
Wilson, Edward O. 1984. Biophilia. First Edition edi-tion. Cambridge, Mass: Harvard University Press.
World Health Organization. 2020a. “Cleaning and Disinfection of Environmental Surfaces in the Context of COVID-19.” COVID-19: Infection Prevention and Control / WASH. 2020.
https://www.who.int/publications-detail-redirect/cleaning-and-disinfection-of-environmental-surfaces-inthe-context-of-covid-19.
———. 2020b. “Overview of Public Health and Social Measures in the Context of COVID-19: Interim Guid-ance.” No. WHO/2019-nCoV/PHSM_Overview/ 2020.1. World Health Organization, 2020.
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