Design for America Wildcard Community Crit 1

Community Crit PresentationRamya Mahalingam

Sophia Dalal Ivy Sokol Ben Snell 

Elizabeth McAvoy  Jeffrey Lam

Miranda Olson

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DFA Wildcard

What are welooking at?

Asthma: The Rundown

THE LUNG

TRIGGERS

allergens

irritants

medicines sulfites

colds

exercise

THE LUNG

Asthma: The Rundown

MUCUS BUILDS UP

INFLAMMATION

AIRWAYS NARROW

Asthma: The Rundown

TRIGGERS

allergens

irritants

medicines sulfites

colds

exercise

MUCUS BUILDS UP

INFLAMMATION

AIRWAYS NARROW

SYMPTOMS

coughing

wheezing

chest tightness

shortnessof breath

Asthma: The Rundown

TRIGGERS

allergens

irritants

medicines sulfites

colds

exercise

percentage of children diagnosedwith asthma in the US9percentage of children diagnosed withasthma in RI11

23 percentage of children diagnosed withasthma in Providence

The number of children diagnosedwith asthma in Providence is

disproportionately high

Median Per Capita IncomeDensity of Children between 2 - 17 years

old, diagnosed with Asthma

$0 $100k$50k

Number of asthmarelated hospitalizationsfor African Americans = 3

Number of asthmarelated hospitalizations

for Caucasiansx

35

percentage of Caucasians taking daily asthma

medication

25

percentage ofAfrican Americans takingdaily asthma medication

23

percentage ofHispanics taking daily

asthma medication

There is a clear demographicdisparity in the incidence of asthma

attacks and access to medication

CommunityPartners

HARP+ Clear instructions from doctors

for asthma self-management

+ Culturally appropriateinterventions/treatment forminority patients

+ Environmental controlmeasures

– Families choose not to opt ininitially

– Limited funding: not a veryscalable model

PCI+ High follow up rates due to

personal contact and ease ofaccess

+ Initial asthma-related contactleads to other social work

– Focus on empowering childrento take charge of their ownasthma treatment

– 17 families, limited resourcesand funding

GHHI+ 29 point audit and

(separate) assessment

+ Streamlined funding applicationand assistance to variousgovernment funds

+ Scalable model & tools(handbook, compendium)

– Maintenance of deep-cleanedhome

– No standard for minimum levelof ‘clean’ to detect triggers

Our Areasof Focus

Community-basedshared solutions

Home triggerdetection andmaintenance

Education andcommunication

c ommunit  y  ser v ic e r equir ement s  teen s &  ‘a t-

r i s k ’  k id s

 s h a r e d 

 c l e a n i n g  

 m a t e r i a l s

i n t e r a c t i v e  h o m e  d i a  g r a m s 

brea the-o-me terna tural pro

duc t 

cleaning s ys tem

Thanks! :)

 AppendixAge-SpecificAsthma

Geographic HospitalizationResidence Age Rates

Rhode Island 0-17 11.6 %

  18-64 10.3

  65+ 10.9

Providence 0-17 23

  18-64 17.4

  65+ 19.7

Core Cities 0-17 22.1

18-64 14.2

65+ 13.9

Caucasian 17.0

AfricanAmerican

39.8

Hispanic 27.1

Percent of children between 0 - 17 years hospitalizedfor asthma attacks in Providence, RI from 2001-2007*