Promising Practices

Filed under Effective Practice, Health / Health Care Access & Quality, Older Adults

Goal: To provide transportation and improve patient satisfaction for nonemergency medical services.

Impact: CareMore's NEMT was so successful in the first 3 months, the programs were expanded in California, Nevada, Arizona, and Virginia.

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Teens, Racial/Ethnic Minorities

Goal: The Emergency Room Intervention for Suicidal Adolescent Females focuses on changing the conceptualization of suicidal behavior and expectations for therapy, thereby increasing attendance at outpatient therapy and decreasing future suicide risk.

Impact: The intervention increases the likelihood of follow-up treatment in an outpatient clinic and reduces suicide risk among adolescent females who have visited an emergency room due to a suicide attempt.

Filed under Evidence-Based Practice, Economy / Poverty, Adults, Women, Men, Families, Urban

Goal: The goal of the Family Peer Support program is to increase family economic and social self-sufficiency, and to connect parents to needed physical health, behavior health, and educational resources for their child. Family peer support programs generally focus on fostering encouragement of personal responsibility and self-determination, improving family health and wellness, and supporting engagement and communication with providers and systems of care. Research shows that peer support programs promote empowerment and self-esteem, self-management, engagement and social inclusion, as well as improving the social networks of families who receive these services. Research evidence qualifies peer support services as evidence-based through the Agency for Healthcare Research and Quality guidelines.

Salzer MS, Schwenk E, Brusilovskiy E: Certified peer specialist roles and activities: results from a national survey. Psychiatric Services 61:520–523, 2010.
Repper J, Carter T: A review of the literature on peer support in mental health services. Journal of Mental Health 20: 392–411, 2011.
Cook JA: Peer-delivered wellness recovery services: from evidence to widespread implementation. Psychiatric Rehabilitation Journal 35:87–89, 2011

Filed under Evidence-Based Practice, Community / Social Environment, Children, Teens, Adults, Women, Men, Families, Urban

Goal: Research shows that children benefit from kinship care in many ways. Kinship care can reduce the trauma that children may have previously endured and the trauma that accompanies parental separation by providing them with a sense of stability and belonging in an otherwise unsettling time. Children who have been placed with relatives may have experienced chronic neglect and physical, sexual, or emotional abuse. While these experiences place children at risk for behavioral and health problems, a positive relationship with a caregiver and a stable and supportive living environment can mitigate their impact.1 Grandparents, other relative caregivers, and “fictive kin” — close friends holding a family-like bond with a child — are in a unique position to fill this supportive role and promote resiliency.

The goal of Kinship Connections is to support kin families' social, emotional, and economic needs to increase placement stability within the child’s community. Specific program objectives are to improve family economic security, family relationship functioning, child well-being, and to increase kin caregiver social support.

1Center on the Developing Child. (2007). The impact of early adversity on children’s development (InBrief). Retrieved from https://developingchild.harvard.edu/ resources/inbrief-the-impact-of-early-adversity-onchildrens-development.
2 Generations United. (2017). In loving arms: The protective role of grandparents and other relatives in raising children exposed to trauma. Retrieved from https://dl2.pushbulletusercontent.com/ uhDY7UgdGYnOod6G7VFkdKnuzE3yALmr/17- InLovingArms-Grandfamilies.pdf.

Filed under Evidence-Based Practice, Health / Cancer, Adults

Goal: The goal of this program is to improve colorectal cancer screening rates among older adults.

Impact: Participants in the intervention group had significantly higher colorectal cancer screening attendance, as well as having more positive attitudes about screening and placing a higher priority on screening.

Filed under Evidence-Based Practice, Community / Social Environment, Children, Teens, Women

Goal: New Beginnings promotes resilience in children after parental divorce by providing mothers and their children with group and individual-based sessions.

Impact: The New Beginnings program improves post-divorce adjustment outcomes such as interparental conflict, mother-child relationships, and coping strategies by targeting predictive behaviors.

Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban

Goal: Parenting education programs are designed to teach and enhance skills and behaviors that enable parents to better understand their child, support their development, and provide a more stable and supportive family environment. Research supports the numerous benefits of such programs, finding that parenting education programs help parents to teach communication and social skills while reducing their stress and improving their sense of competence. Importantly, these positive program outcomes are true for families regardless of whether they are currently dealing with issues of maltreatment or are simply at risk for it.

The Parent Enrichment Program is for families who are at risk for having their children removed from the home or whose children have been removed from the home due to abuse or neglect. The goal of the program is to enhance existing parenting skills, connect participants to needed resources, and support their goals related to social and economic self-sufficiency. Specific program objectives are to improve skills related to positive parenting and financial stability, develop family protective factors that guard against abuse and neglect, and reduce safety threats.

References:
Charlop-Christy, M. H., & Carpenter, M. H. (2000). Modified incidental teaching sessions: A procedure for parents to increase spontaneous speech in their children with autism. Journal of Positive Behavior Interventions, 2, 98–112.
Solomon, R., Necheles, J., Ferch, C., & Bruckman, D. (2007). Pilot study of a parent training program for young children with autism: The PLAY Project Home Consultation program. Autism, 11, 205–224.
Koegel, R. L., Bimbela, A., & Schreibman, L. (1996). Collateral effects of parent training on family interactions. Journal of Autism and Developmental Disorders, 26, 347–359.
Cowen, P. S. (2001). Effectiveness of a parent education intervention for at‐risk families. Journal for Specialists in Pediatric Nursing, 6(2), 73-82.

Filed under Evidence-Based Practice, Community / Public Safety, Racial/Ethnic Minorities

Goal: The goal of tribal motor vehicle injury prevention programs is to reduce disparities in rates of motor vehicle-related injuries and deaths.

Impact: Projects to increase motor vehicle safety on tribal reservations increased seat belt use among drivers, increased use of child safety seats, and decreased motor vehicle crashes.

Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban

Goal: The goal of With All Families: Parents is to support pediatric care visits and improve child welfare by using screening tools and individual parent coaching to identify and address social determinants of health. Specific program objectives are to improve family functioning generally while specifically focusing on improving protective factors and economic-self-sufficiency. As part of the program, staff also work with families to increase parent concrete support and connect parents to needed physical health, behavior health, and educational resources for their child.

Research supports the benefits of using the strategies employed by With All Families: Parents (i.e., screening, resource navigation, and parent coaching) to improve family welfare by addressing underlying risk factors related to poverty and access to resources. For example, programs designed to provide screening and resource navigation support are associated with reduced social needs, improved child health and decreased child hospitalization visits. In light of evidence suggesting that social factors may in fact play a larger role in determining one’s health than medical care, programs that target these social factors, such as With All Families: Parents, are becoming increasingly important.

References
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics, 135(2), e296-e304.

Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., ... & Adler, N. E. (2016). Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial. JAMA pediatrics, 170(11), e162521-e162521.

Pantell, M. S., Hessler, D., Long, D., Alqassari, M., Schudel, C., Laves, E., ... & Gottlieb, L. M. (2020). Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trial. JAMA network open, 3(6), e206445-e206445.

Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.

Filed under Effective Practice, Community / Transportation

Goal: The AZTech Executive Committee set the following objectives:

1. Integrate the existing Intelligent Transportation Infrastructure (ITI) into a regional system.
2. Establish a regional integrated traveler information system for the multi-modal travelers.
3. Demonstrate the benefits of integrated community-based transportation systems to achieve system efficiencies.
4. Provide a showcase of how technology can improve the overall quality of life, conserve energy and reduce pollution.
5. Set a worldwide standard of excellence for deployment of ITS in a major economy.