ADDING ASSESSMENT OF HOME ENVIRONMENTAL HEALTH HAZARDS TO HOME-AND - COMMUNITY-BASED SERVICE MODELS - Abstract

Sep 29, 2026

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Aging in place enables older adults to perform daily activities safely and independently within home and community, supported by HCBS care plans based on disability and home accessibility. Environmental health hazards—such as poor air quality (PM2.5, CO2, radon) and mold—are often ignored despite frequent resident reports. The Healthy Home Lab developed H-HAT with regional HCBS agencies to assess and mitigate hazards using observations, resident input, consumer air monitoring, and dust DNA analysis, then pilot-tested it with 43 low-income households.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Background and problem

Healthy Home Assessment Tool (H-HAT)

Assessment components

Pilot results and outcomes

Mold and water damage

Air quality findings

Care manager reporting and mitigation support

Next steps for dissemination

FAQs

What is aging in place and how do HCBS services support it?

Aging in place is an older adult’s ability to carry out daily activities safely and independently within home and community. Home- and community-based services support it through care plans based on disability and home safety and accessibility assessments.

Why was an environmental hazard assessment added to HCBS models?

Because traditional assessments mostly ignore environmental health hazards such as poor air quality and mold, even though residents commonly report these issues.

What does the Healthy Home Assessment Tool (H-HAT) include?

H-HAT combines assessor observations, resident appraisals, consumer-grade indoor air quality monitoring, and pathogen and mold analysis using DNA species extracted from dust.

Sep 29, 2026

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