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 / Prevention & Safety, Urban
Goal: The goal of the Options/Opciones Project is to reduce or eliminate risky sexual and drug use behaviors of HIV-infected patients.
Impact: The Options/Opciones Project shows that a clinician-delivered HIV prevention intervention targeting HIV-infected patients can result in reductions in unprotected sex and that interventions of this kind should be integrated into routine HIV clinical care.
Filed under Evidence-Based Practice, Health / Children's Health, Children, Urban
Goal: The goal of Parent Connext is to support parents in reducing and/or preventing toxic stress in the family and help children develop critical life skills and coping skills. Recent studies have found that up to 50% of health outcomes are attributable to social and economic factors and that lifetime costs associated with child maltreatment are comparable to other costly healthcare conditions such as stroke or type 2 diabetes. Moreover, 4 in 5 physicians report lacking confidence in their ability to meet patients’ social needs, which can impede their ability to provide high quality medical care. As a result, interventions that target parents’ social needs may have important implications for reducing healthcare costs and have the added benefit of enabling physicians to provide high-quality care to their patients.
Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban
Goal: Parenting education programs are designed to teach and enhance skills and behaviors that enable parents to better understand their child, support their development, and provide a more stable and supportive family environment. Research supports the numerous benefits of such programs, finding that parenting education programs help parents to teach communication and social skills while reducing their stress and improving their sense of competence. Importantly, these positive program outcomes are true for families regardless of whether they are currently dealing with issues of maltreatment or are simply at risk for it.
The Parent Enrichment Program is for families who are at risk for having their children removed from the home or whose children have been removed from the home due to abuse or neglect. The goal of the program is to enhance existing parenting skills, connect participants to needed resources, and support their goals related to social and economic self-sufficiency. Specific program objectives are to improve skills related to positive parenting and financial stability, develop family protective factors that guard against abuse and neglect, and reduce safety threats.
References:
Charlop-Christy, M. H., & Carpenter, M. H. (2000). Modified incidental teaching sessions: A procedure for parents to increase spontaneous speech in their children with autism. Journal of Positive Behavior Interventions, 2, 98–112.
Solomon, R., Necheles, J., Ferch, C., & Bruckman, D. (2007). Pilot study of a parent training program for young children with autism: The PLAY Project Home Consultation program. Autism, 11, 205–224.
Koegel, R. L., Bimbela, A., & Schreibman, L. (1996). Collateral effects of parent training on family interactions. Journal of Autism and Developmental Disorders, 26, 347–359.
Cowen, P. S. (2001). Effectiveness of a parent education intervention for at‐risk families. Journal for Specialists in Pediatric Nursing, 6(2), 73-82.
Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Urban
Goal: The goal of Pathways to Housing, Inc. is to provide independent housing, treatment services for physical and mental health, and employment to mentally ill individuals who are chronically homeless.
Impact: Pathways to Housing has received numerous awards for its projects in New York City, Philadelphia, and D.C. In addition to achieving large effects in terms of housing outcomes, compared with standard care in the community, Housing First also improves community functioning and quality of life.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Children, Teens
Goal: The Penn Resiliency Program is a depression prevention program that seeks to reduce the longevity of symptoms exhibited and the severity of symptoms at onset of depression, through cognitive-behavioral therapy and problem-solving techniques.
Impact: The Penn Resiliency program shows that a group-based program seeking to prevent the initial onset of and decrease the exacerbation of depression children and teens by incorporating specific coping and problem-solving skills can reduce depressive symptoms over time.
Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Teens, Families, Urban
Goal: The goal of the Phoenix Healthy Homes project was to use a multi-factorial approach to reduce hazard prevalence and improve self-reports of home safety and respiratory health.
Impact: The Phoenix Healthy Homes project showed that a tailored healthy homes improvement package significantly improves self-reported respiratory health and safety, reduces respiratory health and injury hazards, and can be implemented in concert with a mobile clinical setting.
Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens, Urban
Goal: The goal of Planet Health is to reduce childhood obesity among middle school students using a school-based interdisciplinary intervention focused on decreasing television viewing and consumption of high-fat foods, and increasing fruit and vegetable intake and moderate and vigorous physical activity.
Impact: These results cumulatively show that Planet Health and similar programs can reduce obesity and increase healthy food consumption in girls. They also show that a finding of a reduction in number of hours watching TV for girls can also predict reduction in obesity.
Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Racial/Ethnic Minorities, Urban
Goal: The goal of the Community AIDS Prevention Program is to educate inner city Latino adolescents about how to reduce risk related to HIV/AIDS, and to encourage sexually active teens to use condoms.
Impact: This program shows that prevention programs targeting HIV/AIDS risk-reduction strategies and condom use encouragement can delay male initiation of sexual intercourse, reduce females' number of sexual partners, and increase likelihood of possessing a condom among sexually active youth.
Filed under Effective Practice, Community / Transportation, Urban
Goal: The goal of SmartTrips is to reduce drive-alone trips and increase biking, walking, and public transit in targeted areas of the city.
Filed under Evidence-Based Practice, Health / Adolescent Health, Teens
Goal: The long-term goals of the program are to arrest the development of teen antisocial behaviors and drug experimentation. Intermediate goals are to improve parents' family management and communication skills.
Impact: Parents had improved feelings toward their children and were less likely to react negatively to their children's behavior and less likely to take a "lax" approach to their children after participating in the program. They also showed improvements in the skill areas of tracking and reinforcing behavior, setting expectations and defining problems, and remaining calm in stressful situations. Antisocial behaviors in their children decreased significantly, measures of child adjustment showed improvement, and total problem behavior decreased. Furthermore, the PFS intervention resulted in significantly less use of tobacco, alcohol, and marijuana.