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.
Reducing Health Disparities: Diversity and Cultural and Linguistic Competence in Contra Costa (Contra Costa County, CA)
Filed under Good Idea, Health / Health Care Access & Quality, Urban
Goal: The goal of this program is to eliminate health disparities among the diverse patient population in Contra Costa County by improving access to services for people who are not comfortable speaking English, and by increasing the cultural and linguistic competence of staff in order to have a workforce capable of working effectively with diverse patients, clients, customers and communities.
Filed under Evidence-Based Practice, Health / Health Care Access & Quality
Goal: To evaluate the impact of rideshare-based medical transportation on the proportion of Medicaid patients attending scheduled primary care appointments.
Filed under Evidence-Based Practice, Economy, Rural
Goal: Medical-legal partnerships perform advocacy services for vulnerable and under-served populations. These populations are typically burdened disproportionately by legal and medical problems. This study aimed to examine the effectiveness and sustainability of a rural medical-legal partnership (MLP).
Impact: The rural medical-legal partnership continued to show social and financial impacts, such as health care recovery dollars (319% return on investment between 2007 and 2009), Social Security benefits, family law services, and end-of-life guidance.
Filed under Good Idea, Health / Oral Health, Children, Families, Rural
Goal: The goal of Saving Smiles is to improve the oral health and in turn overall health of children in Lafayette County, especially for the poor and underserved.
Impact: Most students from the 11 participating schools in Lafayette County received a screening, fluoride varnish, and oral health education, and most of the children referred for dental care were seen by a dentist.
Filed under Evidence-Based Practice, Health / Children's Health, Children, Teens, Urban
Goal: The primary goal of the School Lunch Initiative is to transform the way Berkeley public school students eat lunch and to educate children about food, health, and the environment.
Impact: Three years after its conception, the program successfully eliminated nearly all processed foods from the school district dining halls and introduced fresh and organic foods to the daily menu. There was evidence that greater exposure to the School Lunch Initiative was significantly associated with higher nutrition knowledge scores among fourth graders and seventh graders. Furthermore, elementary school students from the schools with highly developed School Lunch Initiative components clearly expressed a higher preference for fruits and vegetables.
Filed under Good Idea, Education / Student Performance K-12, Children, Teens
Goal: The goal of See You in School is to improve the grades, self confidence and engagement of high school students through mentor/mentee relationships. Decreasing the dropout rates in Whatcom County is a long term goal that begins with the mentor/mentee relationship and a network inside the schools.
Filed under Evidence-Based Practice, Economy / Housing & Homes
Impact: The Community Preventive Services Task Force (CPSTF) recommends permanent supportive housing with Housing First (Housing First programs) to promote health equity for people who are experiencing homelessness and have a disabling condition.
Evidence shows Housing First programs decrease homelessness, increase housing stability, and improve quality of life for homeless persons living with disabling conditions, including those with HIV infection. For clients living with HIV infection, these programs also improve clinical indicators and mental health and reduce mortality. Housing First programs also lead to reduced hospitalization and use of emergency departments for homeless persons with disabling conditions, including HIV infection.
The CPSTF finds the economic benefits exceed the intervention cost for Housing First Programs in the United States. Because homelessness is associated with lower income and is more common among racial and ethnic minority populations, Housing First Programs are likely to advance health equity.
Filed under Effective Practice, Health / Oral Health, Children, Women
Goal: The purpose of the "Something to Smile About" dental program is to improve dental outcomes for children in Garrett County, Maryland.
Filed under Evidence-Based Practice, Health / Health Care Access & Quality
Goal: To find, explore, and implement a sustainable funding stream for community-based healthcare interventions.
Filed under Evidence-Based Practice, Health / Prevention & Safety, Older Adults
Goal: Stepping On aims to reduce the prevalence of falls among older adults. Falls are not a normal part of aging and the risk and/or prevalence of falls may be decreased by taking certain steps, including vision checks, medication management, strength & balance exercises, and home safety checks. Falls and/or the fear of falling often lead to a loss of independence.
Impact: This evidence-based program demonstrated a 31% reduction in falls among participants in an Australian trial. It reached a 50% reduction in falls among participants in a U.S. workshop.