Promising Practices

The Promising Practices database informs professionals and community members about documented approaches to improving community health and quality of life.

The ultimate goal is to support the systematic adoption, implementation, and evaluation of successful programs, practices, and policy changes. The database provides carefully reviewed, documented, and ranked practices that range from good ideas to evidence-based practices.
Learn more about the ranking methodology.

Submit a Promising Practice

School Lunch Initiative (Berkeley, CA)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Teens, Urban

Goal: The primary goal of the School Lunch Initiative is to transform the way Berkeley public school students eat lunch and to educate children about food, health, and the environment.

Impact: Three years after its conception, the program successfully eliminated nearly all processed foods from the school district dining halls and introduced fresh and organic foods to the daily menu. There was evidence that greater exposure to the School Lunch Initiative was significantly associated with higher nutrition knowledge scores among fourth graders and seventh graders. Furthermore, elementary school students from the schools with highly developed School Lunch Initiative components clearly expressed a higher preference for fruits and vegetables.

SEXINFO: A Sexual Health Text Messaging Service for San Francisco Youth (San Francisco, CA)

Filed under Effective Practice, Health / Adolescent Health, Teens, Racial/Ethnic Minorities

Goal: The mission of SEXINFO is to provide sexual health information to those at high risk for acquiring STIs in San Francisco, CA.

Simply Delivered Meals for ME (Maine)

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

Goal: The goal of this specialized meal delivery program called Simply Delivered for ME (SDM) was to improve care and reduce 30-day hospital readmission rates for those eligible for the program.

Social Determinants of Health: Permanent Supportive Housing with Housing First (Housing First Programs)

CDC

Filed under Evidence-Based Practice, Economy / Housing & Homes

Impact: The Community Preventive Services Task Force (CPSTF) recommends permanent supportive housing with Housing First (Housing First programs) to promote health equity for people who are experiencing homelessness and have a disabling condition.

Evidence shows Housing First programs decrease homelessness, increase housing stability, and improve quality of life for homeless persons living with disabling conditions, including those with HIV infection. For clients living with HIV infection, these programs also improve clinical indicators and mental health and reduce mortality. Housing First programs also lead to reduced hospitalization and use of emergency departments for homeless persons with disabling conditions, including HIV infection.

The CPSTF finds the economic benefits exceed the intervention cost for Housing First Programs in the United States. Because homelessness is associated with lower income and is more common among racial and ethnic minority populations, Housing First Programs are likely to advance health equity.

Southwest Indiana Project AWARE (Vanderburgh County and Warrick County, Indiana)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Teens, Urban

Goal: The Goals of Project Aware include:

1) Increase capacity of adults to respond to behavioral health issues of adolescents
2) Increase the mental health literacy of youth-interacting adults
3) Link adolescents with behavioral health issues to mental, emotional, and behavioral health assistance and services
4) Increase the number of collaborative partnerships with youth- serving community agencies/programs
5) Conduct outreach and engagement strategies with adolescents and their families/caregivers to increase awareness of and promote positive behavioral health

Impact: Collaboration and partnerships can help drive awareness of mental health issues and training adolescents in Youth Mental Health First Aid (YMHFA) can help spread awareness of mental health resources and referrals to professionals.

Step-by-Step Approach to Sustain a Community Health Worker Intervention (Philadelphia, PA)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality

Goal: To find, explore, and implement a sustainable funding stream for community-based healthcare interventions.

Stop Waste (Alameda County, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The Waste Management Authority and the Source Reduction and Recycling Board form an integrated Agency dedicated to achieving the most environmentally sound solid waste management and resource conservation program for the people of Alameda County. Within this context, the Agency is committed to achieving a 75% and beyond diversion goal and promoting sustainable consumption and disposal patterns.

STOP-DWI (New York)

Filed under Effective Practice, Community / Transportation, Adults

Goal: The goal of the Broome County STOP-DWI comprehensive DWI countermeasure program is to improve highway safety by preventing drunk driving through increased certainty of arrest and conviction.

Targeted Outreach for Women Act (Florida)

Filed under Good Idea, Health / Women's Health, Women

Goal: The goal of the Targeted Outreach for Pregnant Women Act is to improve prenatal care among high risk and HIV-positive pregnant women in order to reduce the number of babies born with HIV-infection and prenatal drug exposure.

TD Green Streets

Filed under Good Idea, Environmental Health / Built Environment, Children, Adults

Goal: TD Green Streets strives to green cities and towns across Canada by supporting innovative practices in municipal forestry.

Impact: TD Green Streets supports innovative practices in community forestry and has awarded funding to more than 500 communities across Canada. In 2012, 25 projects were funded resulting in the planting of 16,344 trees & shrubs nationwide.

An Effective Practice meets the following HCI criteria:

The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success and/or promise in achieving the program goal in one or more localities.
The results from an evaluation of the program include quantitative measures of improvement in outcome of interest (i.e. increase in voter registration, not just delivery of voter registration drive) and/ or the outcome measure is increased or improved compared to the baseline measurement or the control group but the difference is not statistically significant.

A Good Idea meets the following HCI criteria:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
The program evaluation is limited to descriptive measure(s) of success/accomplishment (i.e., program participation rates, number of services/education sessions/radio messages provided). Note: oftentimes, the program has been newly implemented and a program evaluation has not yet been conducted. Programs that have not yet been evaluated, but which show promise in improving health or quality of life, are classified as Good Ideas until an evaluation is conducted.

An Evidence-Based Practice meets the following HCI criteria:

The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.