Promising Practices

Filed under Effective Practice, Health / Alcohol & Drug Use, Racial/Ethnic Minorities

Goal: The original goal of the Community Action Model has been to improve the health and environment of a community by reducing tobacco influences while building community capacity. It can be applied to a variety of health and welfare issues and has been used successfully in many communities with multiple topics of intervention.

Impact: The Community Action Model has resulted in new tobacco control policies within San Francisco, many of which serve as models for other communities.

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

Goal: CAPABLE is a 5-month structured home visit program delivered by an occupational therapist (OT), a registered nurse (RN), and a handyman to improve daily function in older adults and to lower the monthly average Medicaid expenditure and likelihood of costly healthcare services.

Impact: This study demonstrates that home visit programs can improve the daily quality of life in aging adults. Additionally, they can lead to a reduction in Medicaid expenditures via lower inpatient costs and lower long-term care costs.

Filed under Effective Practice, Education / Student Performance K-12, Children, Teens, Adults

Goal: The goal of the program is to make a positive difference in the lives of children, primarily through professionally guided one-to-one relationships with caring adults, and to assist them in achieving their highest potential, as they grow to become confident, competent and caring individuals.

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The overall mission of the Civano Community is:
- To create a sense of place that fosters community and connects people to one another and their natural environments
- To tread lighter on the land through innovative design, and
- To introduce sustainable construction materials and new technologies to advance the quality of life.

Specific performance targets include:
- Reduce energy consumption by 75%
- Reduce potable water consumption by 65%
- Reduce landfill-destined solid waste by 90%
- Reduce internal vehicle trip miles by 40%, and
- Create one community job for every 2 residences.

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of the CHIP lifestyle intervention is to lower blood cholesterol, hypertension, and blood sugar levels and reduce excess weight.

Impact: CHIP has over 55,000 graduates worldwide and sustains adherence to the program guidelines through an active "ClubCHIP" member support organization.

Filed under Good Idea, Environmental Health / Built Environment

Goal: Complete Streets aims to increase physical activity and contribute to creating safer communities for all users of the road.

Impact: Complete Streets has contributed to safer communities and streets for all users of the road by working with community residents, policy-makers, and the development community.

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Adults, Urban

Goal: The goal of Connect is to increase relationship communication and safer sex practices among couples.

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

Goal: The goal of Coordinated Approach to Child Health (CATCH) is to improve nutrition, increase physical activity, and reduce obesity in preschool, elementary, and middle school aged children.

Impact: CATCH is successful in improving participants' diet and physical activity, and the results lasted three years after participation.

Filed under Effective Practice, Health / Health Care Access & Quality

Goal: The goals of this promising practice were to identify the transportation-disadvantaged population that lacks nonemergency medical care because of low access to transportation; determine the medical conditions that this population experiences and describe other characteristics of these individuals, including geography; estimate the cost of providing the transportation necessary for this population to obtain medical transportation according to various transportation service needs and trip modes; estimate the healthcare costs and benefits that would result if these individuals obtained transportation to non-emergency medical care for key healthcare conditions prevalent for this population; and compare the relative costs (from transportation and routine healthcare) and benefits (such as improved quality of life and better managed care, leading to less emergency care) to determine the cost-effectiveness of providing transportation for selected conditions.

Impact: These results show that adding relatively small transportation costs do not make a disease-specific, otherwise cost-effective environment non-cost-effective. Providing increased access to non-emergency medical care does improve quality of life and saves money per patient.

Filed under Evidence-Based Practice, Health / Prevention & Safety, Teens

Goal: The goals of the MCM are to provide a comprehensive and centralized concussion care program to 1) increase concussion awareness and identification through education and training; 2) facilitate the return to play decision with effective medical treatment, which includes baseline neurocognitive testing; and 3) implement a standardized concussion care protocol and concussion injury surveillance system to assist in the prevention of concussions, improve player safety, and limit school liability.

Impact: From the pilot evaluation of the model it was determined that the MCM model or a similarly designed one is effective in increasing the number of concussions identified, reported, and also treated at a clinic.