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

The Key Clubhouse of South Florida (Miami-Dade County, FL)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Adults, Urban

Goal: The mission of The Key Clubhouse is to afford people who have been disrupted by mental illness the opportunity to recover meaningful and productive lives through reintegration in the workplace and the community.

Impact: Individuals who participate in a Clubhouse program have been found to have higher rates of employment, reduced hospitalization, reduced incarceration, and improved well-being as compared with other mental health programs.

The Key Clubhouse of South Florida and Supportive Housing at Northside Commons (Miami-Dade County, FL)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Adults, Urban

The Living Room (DuPage County, IL)

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

Goal: The end goal of The Living Room is to reduce recidivism to the hospital and pair those in need with the right resources to help them be able to handle their mental health crises and move away from using The Living Room. Additionally, a main goal of The Living Room is matching those in need with a particular peer specialist to create a lasting connection.

Impact: Connects individuals experiencing mental health illness or crises to peer specialists which help reduce recidivism to the emergency room or hospital, help manage future crises, and provide a connection to continued non-clinical support and resources.

The Living Room of the Community Health Center of LaGrange (LaGrange, IL)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Urban

Goal: To reduce the number of individuals with mental illness who use the ER, to help individuals achieve long-term recovery, and to develop a community peer-based support network.

Impact: The Living Room is a comfortable, non-clinical space that offers an alternative to hospital emergency rooms. The program in LaGrange, Illinois hopes to decrease unnecessary hospitalizations.

The Loading Dock (Baltimore, MD)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: TLD's mission is to increase the supply and use of affordable building materials for housing and community improvement by redirecting landfill-bound, reusable materials into productive use.

The Medical University of South Carolina Psychiatry Residency Diversity Program

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Adults, Racial/Ethnic Minorities

Goal: The MUSC Psychiatry Residency program has the following goals related to diversification of the health care professional pool:
- increased racial and ethnic diversity reflecting the general South Carolina population
- promotion of racial/ethnic and gender diversity in leadership positions within the School of Medicine
- promotion of cultural competency and understanding
- more opportunities within the College of Medicine at all levels for individuals from all backgrounds

Impact: The proportion of URM applicants to MUSC psychiatry residencies increased from 8% in 2008 to 17% in 2015. The percentage of URM psychiatry residents enrolled in MUSC has tripled over the last seven years, from 9% in 2008 to 28% in 2015.

The Missouri Diabetes Prevention and Control Program (Missouri)

Filed under Effective Practice, Health / Diabetes

Goal: The goal of this program is to improve diabetes care in Missouri.

The Perfect 10 Project (Kansas)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Families, Rural

Goal: The Perfect 10 Project objective is to increase the initiation rates of breastfeeding to 84%, increase our duration rates of breastfeeding by 25% at 6 months to 35.8% (currently 28.6%), and 32.6% at one year (currently 18.1%).

Impact: There were 102 physician referrals from the Lower 8 counties for breastfeeding assistance in the first six months of 2016, 148 breastfeeding moms were helped through our after-hours hotline in the first six months, and 24 moms attended our Mommy & Me breastfeeding support group.

The REACH Promotora Community Coalition (Hidalgo and Cameron counties, TX)

Filed under Good Idea, Health / Diabetes, Racial/Ethnic Minorities

Goal: The goal of this program is to reduce the rate of diabetes along the border of Texas and Mexico.

The Senior Companion Program (Savannah, GA)

Filed under Effective Practice, Health / Older Adults, Older Adults

Goal: The primary caregivers of terminally ill patients often have regular jobs, require additional assistance, or just need some respite from their demanding schedule. Senior Companions provide much-needed assistance that allows patients to remain at home while giving primary caregivers a break.

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.