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

With All Families: Parents (Hamilton County, OH)

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.

Bay Area Regional Health Inequities Initiative (BARHII) (San Francisco Bay Area)

Filed under Good Idea, Health

Goal: The mission of BARHII is to transform public health practice for the purpose of eliminating health inequities using a broad spectrum of approaches that improve community health. Consistent with that mission, BARHII has set the following objectives:

- Train staff on broad spectrum of strategies to improve nutrition and physical activity, and reduce health inequities.
- Develop regional collaborations of public health departments, organizations, coalitions and communities to participate in a comprehensive approach to improve nutrition and physical activity.
- Develop a media advocacy campaign to raise awareness among policy makers and the general public about key issues of nutrition and physical activity, and their link to chronic disease and health inequities.
- Use the regional platform to achieve changes in institutional practices and public policies, and increase support for public health.

Charleston Dorchester Mental Health Center Partnerships (South Carolina)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Children, Adults

Goal: By partnering with key community stakeholders, the Charleston Dorchester Mental Health Center is committed to providing accessible, affordable, quality mental health services to residents of Charleston and Dorchester counties.

Impact: Charleston Dorchester Mental Health Center Partnerships has resulted in increased hospital and emergency services diversion, increased children tenure in communities and schools, and provided essential mental health services to improve the overall quality of life for residents of the community.

Chicago Child-Parent Centers (Chicago, IL)

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Urban

Goal: The goal of this program is to provide comprehensive educational support and family support to economically disadvantaged children and their parents.

Healthy Parks and the Interface between State and Local Policy Change (California)

Filed under Good Idea, Community / Governance, Urban

Goal: The goal of the Statewide Park Development and Community Revitalization Act is to ensure that funding for new parks and green spaces is prioritized for critically underserved and disadvantaged urban communities.

Medical-Legal Partnership (Kansas City Metropolitan Area)

Filed under Good Idea, Health / Prevention & Safety, Children, Families, Urban

Goal: The goal of the medical-legal partnership is to improve health outcomes through quality legal services.

Impact: The Medical-Legal Partnership provides legal assistance to patients on issues that directly or indirectly affect health.

Partnering with a Bakery to Provide Breakfast to Low-Income Schools (United Kingdom)

Filed under Good Idea, Health / Children's Health, Children, Urban

Goal: The goal of this partnership is to provide a healthy breakfast to low-income students to help them perform better in school.

Pathways to Housing, Inc. (NYC, DC, Philadelphia)

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

Goal: The goal of Pathways to Housing, Inc. is to provide independent housing, treatment services for physical and mental health, and employment to mentally ill individuals who are chronically homeless.

Impact: Pathways to Housing has received numerous awards for its projects in New York City, Philadelphia, and D.C. In addition to achieving large effects in terms of housing outcomes, compared with standard care in the community, Housing First also improves community functioning and quality of life.

Al's Pals

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

Goal: The goal of the Al's Pals program is to teach children how to practice positive ways to express feelings, relate to others, communicate, brainstorm ideas, solve problems, and differentiate between safe and unsafe substances and situations.

Impact: Studies have shown that the program resulted in higher degrees of positive change in the intervention groups, increases in prosocial behaviors and positive coping behaviors, and decreases in antisocial and negative coping behaviors.

Chicago Housing Health Partnership (Cook)

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

Goal: The goal of the Chicago Housing Health Partnership is to use tailored case management to place chronically medically ill homeless individuals in stable, long-term housing and facilitate access to medical services.

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.