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

Together Learning Choices (TLC) (Los Angeles, New York, San Francisco, and Miami)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Adults, Urban

Goal: The goal of Together Learning Choices was to help HIV-infected youth increase their use of health care, decrease drug and alcohol use and risky sexual behaviors, and improve their quality of life.

Impact: Together Learning Choices (TLC) showed that prevention programs can effectively reduce risk acts among HIV-infected youths.

Treatment Foster Care Oregon (Eugene, OR)

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

Goal: The goal of the TFCO program is to decrease problem behavior and to increase developmentally appropriate normative and prosocial behavior in children and adolescents who are in need of out-of-home placement.

Impact: When compared with the control group, TFCO youths spent 60% fewer days in incarceration, had significantly fewer subsequent arrests, and had significantly less hard-drug use.

Triple P - Positive Parenting Program: Palm Beach County (Palm Beach County, FL)

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

Goal: Triple P aims to enhance the knowledge, skills, and confidence of parents to prevent behavioral, emotional, and developmental problems in children and prevent child maltreatment.

Impact: Triple P increased confidence in parenting ability and reduced the incidence of verified maltreatment among participants in the program.

Uniting for Solutions Beyond Shelter (New York, NY)

Filed under Effective Practice, Economy / Housing & Homes, Urban

Goal: The goals of Uniting for Solutions Beyond Shelter are:
- To reduce street homelessness and the shelter population by two-thirds in five years.
- To eliminate chronic, or long-term, homelessness on City streets and shelters in five years.

The plan's objectives include initiatives to better serve individuals and families who are at-risk of homelessness or who become homeless, as well as ensure that the City and its citizens are maximizing public resources. The plan has nine points - encompassing 60 initiatives - that seek to:

- Overcome street homelessness
- Prevent homelessness
- Coordinate discharge planning
- Coordinate city services and benefits
- Minimize disruption to homeless families and children
- Minimize duration of homelessness
- Shift resources into preferred solutions
- Provide resources for vulnerable populations to access and afford housing
- Measure progress, evaluate success, and invest in continuous quality improvement.

Urban Advantage (New York, NY)

Filed under Effective Practice, Education / School Environment, Children, Urban

Goal: The incomparable resources of these institutions offer a unique "urban advantage" to New York City students, and enhance middle schools' capacity to achieve science education goals. Student investigations at QBG and partner institutions lead to exciting questions that culminate in Exit Projects and give firsthand knowledge of how scientists work in various fields.

Urban Farming Education (West Oakland, CA)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: City Slicker Farms offers a range of educational programs through its Urban Farming Education initiative to enable individuals and communities to grow their own food.

Violence Intervention Program (VIP) - Baltimore (Baltimore, MD)

Filed under Evidence-Based Practice, Community / Crime & Crime Prevention, Teens, Adults, Men, Racial/Ethnic Minorities, Urban

Goal: The goal of the Violence Intervention Program (VIP) is to reduce the number of repeat victims of intentional violent injury by providing assessment, counseling, and social support from a multi-disciplinary team.

Impact: Patients who participated in the Violence Intervention Program were less likely to be re-hospitalized due to violent injury.

Walking School Bus (Houston, TX)

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

Goal: The goal of the "walking school bus" is to increase children's rates of active commuting to school and physical activity.

Web-Based Committed Quitters Stop Smoking Plan

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Adults

Goal: To increase the abstinence rate of smokers over the age of 18 through a supplemental, online, tailored smoking cessation program.

Impact: The Committed Quitters Stop Smoking Plan has been successful at increasing the abstinence rate for smokers enrolled in the plan. Abstinence was higher for enrollees of the plan after 28 days and after 10-weeks.

Worcester Goods for Guns Buyback (G4G) Program (Worcester, MA)

Filed under Evidence-Based Practice, Community / Public Safety, Children, Teens, Adults, Families, Urban

Goal: The goals of this program are three-fold: first, to remove unwanted improperly stored guns from homes; second, to educate the community about the increased risk of gun-related injuries in the home and the importance of safe gun storage; and third, to identify individuals possessing improperly stored guns at home and provide them with safety information and alternatives.

Impact: This program shows a strong collaboration between health care providers and public safety offices and showcases a low-cost means of removing unwanted firearms from the community. Additionally, most participants felt their homes were safer after turning in their firearm(s).

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.