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.
Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Racial/Ethnic Minorities
Goal: To evaluate the association of a “Housing First” intervention for chronically homeless individuals with severe alcohol problems with health care use and costs.
Impact: Total cost offsets for Housing First participants relative to controls averaged $2449 per person per month after accounting for housing program costs.
Filed under Evidence-Based Practice, Economy / Housing & Homes
Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).
Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.
CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.
Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.
Filed under Evidence-Based Practice, Health / Children's Health, Children, Families, Urban
Goal: The goal of Healthy Families Palm Beach is to prevent child abuse and neglect.
Impact: The Healthy Families program improves birth outcomes, nurtures child development, prevents child abuse and neglect, improves family functioning, and help parents develop more positive beliefs in their parental roles.
Filed under Evidence-Based Practice, Health / Children's Health, Children, Families, Urban
Goal: Improve early identification of concerns and initiate interventions to improve the health, development and emotional wellness of children, newborn to age three.
Impact: HSFYC parents were less likely to use severe discipline (OR: 0.68) and more likely to negotiate with their child (OR: 1.20). HSFYC parents had greater odds of reporting a clinical or borderline concern regarding their child's behavior (OR: 1.35).
Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education, Children, Families
Goal: HIPPY programs empower parents as primary educators of their children in the home and foster parent involvement in school and community life to maximize the chances of successful early school experiences.
Impact: Through 20 years of research, the HIPPY model has proven to be effective in improving school readiness, parent involvement in students' academic lives, school attendance, classroom behavior, and overall academic performance.
Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Children, Women, Families, Urban
Goal: The Homeless Prenatal Program works with families to break the cycle of homelessness and poverty by providing prenatal and parenting support, family finances and stability, and basic needs services.
Filed under Evidence-Based Practice, Community / Public Safety, Older Adults
Goal: The mission of the program is to shape the evolving health system by developing and spreading high-value models of community-based care and self-management for diverse populations with chronic conditions.
Huesos Fuertes, Familia Saludable (Strong Bones, Healthy Family): California Bone Health Campaign (California)
Filed under Evidence-Based Practice, Health / Physical Activity, Children, Women, Families, Racial/Ethnic Minorities
Goal: The goal of the CBHC is to increase the consumption of 1% (low-fat) milk in order to prevent osteoporosis among low-income Latino mothers.
Filed under Good Idea, Economy / Investment & Personal Finance, Children, Families
Goal: The goal of It's a Habit, Sammy Rabbit! is to teach financial literacy and other life skills and habits to young children.
Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)
Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults, Urban
Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.
Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.