Case Management

Resources for staff providing lead poisoning case management

Investigative Guidelines

• Lead Poisoning Investigative Guidelines (pdf) (November 2023)- Oregon-specific lead poisoning disease reporting and follow-up. This document is currently being edited to include significant updates and will be available Spring 2025. 
  

Case management for children under age 18

• Case Management Checklist - Step-by-step checklist for case management activities

• Unconfirmed EBLL - Letter to family regarding an elevated blood lead test result, modify as needed
• English
• Spanish

Environmental investigation

• Environmental Investigative Procedures: For Homes of Children with Elevated Blood Lead Levels

• Environmental Questionnaire - Questionnaire used to identify possible source(s) and environmental sampling locations
• Fillable PDF version to be downloaded

• HUD Guidelines for Investigating Homes that House Children with Elevated Blood Lead Levels - Guidance on performing an EBLL investigation and identifying sources of exposure.

• Case Management and Investigation Training Presentation

• Reimbursements for Home Investigations - Per OAR 410-151-0040, home environmental lead investigations may be reimbursable if the child is enrolled in the Oregon Health Plan. Read this article for more information or contact our program.
  
• On 10/23/2024, staff from various OHA programs recorded this webinar that describes the process for local public health authorities to bill for child lead investigations:  https://youtu.be/xFleZE04lNI. This video is included on the OHA page Resources for Local and Tribal Public Health Authorities in Oregon. 
  

NOTE: Only certified risk assessors can perform environmental sampling (dust, paint chips, and soil) in pre-1978 housing to identify lead-based paint hazards.

Medical management for providers and local public health authority staff

Children

• Medical Information Form - For children with elevated blood lead levels: County Health Departments contact the medical provider and have them complete this form. Copy of completed form needs to be sent to OHA along with all case management documentation.

• Medical Evaluation and Recommendations - For children with elevated blood lead levels (EBLLs). This document is intended to provide evidence-based guidance for medical providers caring for children with confirmed EBLLs.
• Management of Childhood Lead Exposure - this website provides recommendations from the Pediatric Environmental Health Specialty Units and the American Academy of Pediatrics.

Adults

• Understanding Blood Lead Testing Results for Adult Exposure to Lead - Information on types of blood lead testing and interpretation of test results. Intended for medical providers or county health department staff.

• Recommended Adult Medical Evaluation for Lead Exposure - Interview form used by medical provider to identify and care for elevated blood lead levels.

• Medical Evaluation and Recommendations - For adults with elevated blood lead levels (EBLLs). This document is intended to provide evidence-based guidance for medical providers caring for adults with confirmed EBLLs.