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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.

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Effect of a housing and case management program on emergency department visits and hospitalizations among chronically ill homeless adults: a randomized trial (Chicago, Illinois)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Women, Men, Older Adults, Racial/Ethnic Minorities

Goal: To assess the effectiveness of a case management and housing program in reducing the use of urgent medical services among homeless adults with chronic medical illnesses.

Impact: For every 100 homeless adults offered the intervention, the expected benefits over the next year would be 49 fewer hospitalizations, 270 fewer hospital days, and 116 fewer ED visits.

Enhanced Opening Doors (California, Louisiana, New York, Ohio)

Filed under Evidence-Based Practice, Education / Educational Attainment, Adults

Goal: The goal of this program is to improve outcomes among Community College students who are on academic probation.

Impact: Enhanced Opening Doors helps low-income students earn college credentials as the pathway to better jobs and further education.

EnLace (Leadership and Civic Engagement)

Filed under Good Idea, Community / Public Safety, Families, Racial/Ethnic Minorities, Rural

Goal: In an effort to prepare and engage community residents to take a more participatory role in their communities, Monterey County Health Department (MCHD) developed and has offered since 2014 a leadership and civic engagement program (enLACE) that addresses the social determinants of health, community engagement and their relationship to the health of the community.

Environmental Health Faculty Champions Initiative (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: Environmental Health Faculty Champions Initiative seeks to create a network of environmental health champions at medical and nursing schools, knowledgable about the benefit of prescribing outdoor activity to children.

EPA's Clean Water Act Recognition Awards (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The objectives of the program are to educate the public about the contributions that publicly-owned wastewater treatment facilities make to clean water; to encourage public support for municipal and industrial efforts in effective wastewater management, biosolids management, and wet weather pollution control; and to recognize communities that go much beyond the minimum needed to meet Clean Water Act requirements.

Families in Action (Kennesaw, GA)

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

Goal: The goal of this program is to prevent substance abuse among youth.

Families Learning and Growing (F.L.A.G.ship) (Marin)

Filed under Good Idea, Education / Literacy, Families

Goal: The program's goal is to provide school readiness activities for families with children, from birth to five years old, who live in isolated and under-served areas of Marin County.

Family and Children's Services: Co-locating to Provide Trauma Services (Nashville, TN)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Children, Families

Goal: The goal oft his program is to provide direct services to children who have suffered or witnessed violence in their homes or neighborhoods.

Fight BAC! (Hartford, CT)

Filed under Evidence-Based Practice, Health / Food Safety, Children, Families, Racial/Ethnic Minorities

Goal: The goal of the Fight BAC! campaign is to educate the public about four basic practices - clean, separate, cook and chill - that reduce the risk of foodborne illness.

Impact: The study showed that culturally competent, social marketing campaigns are likely to improve awareness, knowledge, and attitudes around food safety among Latino consumers.

Flex Your Power Case Study: City of Atascadero (Atascadero, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of this project was to reduce energy usage in government buildings. Long-term objectives were: Research solar, wind and new roofing project; and consider replacing and upgrading wastewater treatment equipment, which was the city's biggest energy user (representing approximately 47 percent of the annual kilowatt usage.)

An Effective Practice meets the following HCI criteria:

  1. 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.
  2. 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:

  1. The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
  2. 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:

  1. 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.
  2. 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.
  3. 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.
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