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, Health / Immunizations & Infectious Diseases
Impact: The Community Preventive Services Task Force (CPSTF) recommends school and organized child care center-located vaccination programs based on strong evidence of effectiveness in increasing vaccination rates, and in decreasing rates of vaccine-preventable disease and associated morbidity and mortality.
The updated CPSTF recommendation is based on findings from 27 studies in which vaccination programs in schools or child care centers:
-Provided vaccinations on site
-Were administered by a range of providers including school health personnel, health department staff, and other vaccination providers
-Were delivered in a variety of different school and organized child care settings
-Delivered one or more of a range of vaccines recommended for children and adolescents, and
-Included additional components such as education, reduced client out-of-pocket costs, and enhanced access to vaccination services
School- and organized child care center-located vaccination programs may be most useful in improving immunization rates among children and adolescents for new vaccines, and vaccines with new, expanded recommendations (such as the annual immunization for seasonal influenza) where background rates are likely to be very low and improvements in coverage are needed.
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.
Filed under Effective Practice, Health / Mental Health & Mental Disorders, Families, Urban
Goal: Managed through the Child and Adolescent Services Branch of the Milwaukee County Mental Health Division in Wisconsin, Wraparound Milwaukee attempts to meet the mental heath, substance abuse, social service, and other supportive needs of the most complex youths in the Milwaukee community.
Filed under Good Idea, Environmental Health / Built Environment
Goal: The goal of this initiative was to pinpoint community conditions that were detrimental to health in the Planada, California community.
Impact: The Student Education Empowerment Development Squad (SEEDS), with the help of the Central California Regional Obesity Prevention Program (CCROPP), addressed community issues through a youth-led process using Prevention Institute’s Tool for Health and Resilience in Vulnerable Environments (THRIVE).
Filed under Good Idea, Health / Health Care Access & Quality, Urban
Goal: Access to Care aims to meet primary health care needs of low-income uninsured individuals.
Filed under Effective Practice, Health / Health Care Access & Quality
Goal: AccessHealth Spartanburg's mission is to improve access to healthcare for the uninsured of Spartanburg County, SC.
Impact: AHS reduced inappropriate emergency room use and inpatient caseloads while increasing access to healthcare services for its clients in Spartanburg County. Furthermore, the organization reported a $17 to $1 ROI.
Filed under Good Idea, Health / Mental Health & Mental Disorders, Children, Women, Urban
Goal: The mission of Sheffield Place is "to empower homeless mothers and their children to heal from their trauma and help them become self-sufficient." The goal of the Aftercare program is to provide continuing supportive services once the families have transitioned from the residential program to permanent housing in the community. In this way, the families receive the support they need to maintain or increase income, maintain or improve mental health functioning, and maintain permanent housing.
Impact: This program provides vital supportive services for formerly-homeless families in recovery. Sheffield Place grew from serving just 20 families in 2010 to serving 132 families in 2017 (102 in residential and 30 in aftercare).
Filed under Good Idea, Health / Alcohol & Drug Use
Goal: The goal of this program is to involve community partners in reviewing individual deaths, generating recommendations for improved community collaboration, and initiating new practices.
Filed under Effective Practice, Health / Alcohol & Drug Use, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Urban
Goal: The goal of Assessment and Referral is to help individuals struggling with a substance use disorder evaluate their needs and strengths and begin to make healthy choices that improve the overall quality of their lives.
Impact: First Call provided over 1,700 assessments in 2013, and more than half of clients showed improvements in their Addiction Severity Index (ASI) scores or a decrease in substance use.
Filed under Evidence-Based Practice, Health / Respiratory Diseases
Impact: The Community Preventive Services Task Force (CPSTF) recommends school-based asthma self-management interventions to reduce hospitalizations and emergency room visits among children and adolescents with asthma. Evidence shows interventions are effective when delivered by trained school staff, nurses, and health educators in elementary, middle, and high schools serving diverse populations.
When implemented in schools in low-income or minority communities, interventions are likely to promote health equity.