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 Effective Practice, Economy / Housing & Homes, Adults, Women, Men, Older Adults, Racial/Ethnic Minorities
Goal: The objective of this article is to describe Project Restoration's approach to cross-sector collaboration with a shared population of high utilizing community members, describe the process and outcomes of the collaboration, provide strategies to mitigate challenges that arise during collaboration and offer insights to inform similar initiatives in communities nationwide.
Impact: Hospitals across the region are assessing ways to establish a centralized infrastructure to collaboratively address the complexities of individual cases, as well as a regional council to explore process improvements to enhance the lives of vulnerable populations.
Filed under Good Idea, Health / Immunizations & Infectious Diseases, Children, Families, Rural
Goal: The goal of this program was to increase full DTaP series vaccination in Wilson County, Kansas.
Impact: Immunization completion rates increased from 70% to 82% after implementation.
Filed under Good Idea, Health / Wellness & Lifestyle, Children
Goal: The goals of this program are to increase developmentally appropriate physical activity, to increase the consumption of fruit and vegetables by children, and to increase the consumption of low-fat milk products and calcium-rich foods. The long-range goal is to incorporate this theme into the life of Lorain County children through collaboration with schools, agencies and facilities that provide services and activities for children and their families.
Filed under Evidence-Based Practice, Economy / Poverty, Adults, Women, Men, Families, Urban
Goal: The goal of the Family Peer Support program is to increase family economic and social self-sufficiency, and to connect parents to needed physical health, behavior health, and educational resources for their child. Family peer support programs generally focus on fostering encouragement of personal responsibility and self-determination, improving family health and wellness, and supporting engagement and communication with providers and systems of care. Research shows that peer support programs promote empowerment and self-esteem, self-management, engagement and social inclusion, as well as improving the social networks of families who receive these services. Research evidence qualifies peer support services as evidence-based through the Agency for Healthcare Research and Quality guidelines.
Salzer MS, Schwenk E, Brusilovskiy E: Certified peer specialist roles and activities: results from a national survey. Psychiatric Services 61:520–523, 2010.
Repper J, Carter T: A review of the literature on peer support in mental health services. Journal of Mental Health 20: 392–411, 2011.
Cook JA: Peer-delivered wellness recovery services: from evidence to widespread implementation. Psychiatric Rehabilitation Journal 35:87–89, 2011
Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban
Goal: The goals of the projects were to:
- Provide uninterrupted service;
- Develop a strategy to minimize or eliminate future wastewater rate increases resulting from higher power supply costs;
- Build self-sufficiency and local control over longterm energy supplies;
- Help improve electric generation for the benefit of the IEUA service area (e.g., municipal power Joint Power arrangements with the cities); and
- Assist the region and California in meeting its energy needs.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Adults, Racial/Ethnic Minorities, Urban
Goal: The goal of Focus on Youth is to teach youth the skills and knowledge they need to protect themselves from HIV and other STDs.
Impact: The Focus on Youth intervention increased self-reported condom use and positively affected perceptions six months after the end of the program.
Filed under Good Idea, Health / Physical Activity, Adults, Families
Goal: The contest is designed as a fun way for community members to get more exercise, with a target of 30 minutes or more of physical activity per day.
Filed under Good Idea, Health / Wellness & Lifestyle, Adults, Racial/Ethnic Minorities, Urban
Goal: Global Gardens aims to increase household access to affordable fresh vegetables among newly resettled refugee individuals living in the Historic Northeast of Kansas City, Missouri. Program participants are provided use of land, water, seeds, and plant starts at community gardening sites in the Lykins and Indian Mound neighborhoods, maintained by Global Gardens staff.
During the course of the program, growers receive ongoing education and support from staff and interpreters, reducing language and cultural barriers that have historically limited refugee access to community gardening engagement. The Global Gardens curriculum focuses on increasing refugee growers’ skills in community and household gardening, utilizing a garden-based learning theory of education, and implementing participatory, learner-centered assessment techniques. The curriculum empowers growers to take the lead in their learning experience and increase connection to and responsibility for their physical environment.
Additionally, Global Gardens aims to increase participant knowledge of how to access local community gardening resources in Kansas City. Each growing season, participants are connected to Kansas City Community Gardens (KCCG), a non-profit that seeks to assist low-income households to produce vegetables from garden plots in backyards and community sites. Global Gardens participants receive membership information and introduction to the seed and plant ordering process, and practice using this resource during the course of the program, building individual self-sufficiency in navigating the process, and increasing likelihood of utilizing KCCG in future.
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.