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

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.

The City as a Park - Climate change reduction and city beautification in Denver (City of Denver)

Filed under Good Idea, Environmental Health / Air

Goal: To slow climate change by reducing carbon dioxide in the atmosphere while also establishing a network of public spaces where residents can walk to enjoy a vibrant urban landscape and healthy ecosystem.

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.

A Matter of Balance

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults

Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.

Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.

A Matter of Balance (Clay and Platte Counties, MO)

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The goals of the program are to help participants learn how to view falls and the fear of falling as controllable, set realistic goals for increasing activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance.

Impact: After completing the program, 97% of participants are more comfortable in talking about falls, 95% have made environmental changes, and 99.5% plan to continue exercising.

A Population Health Approach to Clinical Social Work with Complex Patients in Primary Care (Portland, Maine)

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: Patients with the highest medical and social vulnerability require a population-specific social work intervention in primary care to achieve positive medical outcomes and to decrease inefficient use of services, especially inpatient admissions and ED visits.

Impact: The study exhibits promise in decreasing inpatient visits and cost. The evidence also supports population-specific social work interventions integrated in primary care.

Accelerated Benefits (AB) Demonstration (USA)

Filed under Evidence-Based Practice, Health / Disabilities, Adults

Goal: The program's goal was to eliminate the waiting period for access to health care benefits for newly entitled SSDI beneficiaries, and see if this investment has long-term benefits.

Impact: The AB Demonstration project successfully increased the use of health care services and reduced the reported unmet health care needs of participants in the program.

Activity Bursts in the Classroom (ABC) Fitness Program (Independence, MO)

Filed under Evidence-Based Practice, Health / Physical Activity, Children

Goal: The project aims to promote a healthy lifestyle and reverse the trend of obesity among students and their families.

Impact: The ABC Fitness Program demonstrates the feasibility of bursts of structured physical activity for elementary school students with the beneficial effects on fitness and other health measures.

Adults and Children Together - Parents Raising Safe Kids (ACT-PRSK) (USA)

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

Goal: The goal of the program is to teach parents/caregivers effective parenting skills, create a support system for their children, and equip participants with non-violent techniques to encourage a safe environment at home and in the community.

Impact: ACT program has been shown to prevent child maltreatment and promote positive parenting skills, including reducing physical violence towards children, improving knowledge of appropriate discipline, and improving parent methods for teaching children nonviolent social skills.

Aggression Replacement Training® (ART® ) (Scotia, NY)

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

Goal: The goal of ART® is to improve social skill competence, anger control, and moral reasoning.

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.