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

Smile Alabama! (Alabama)

Filed under Effective Practice, Health / Oral Health, Children

Goal: The goal of the Smile Alabama! initiative is to improve oral health services for Medicaid-eligible children.

Social Determinants of Health: Permanent Supportive Housing with Housing First (Housing First Programs)

CDC

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.

Something to Smile About Dental Program (Garrett County, MD)

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.

Southwest Indiana Project AWARE (Vanderburgh County and Warrick County, Indiana)

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

Goal: The Goals of Project Aware include:

1) Increase capacity of adults to respond to behavioral health issues of adolescents
2) Increase the mental health literacy of youth-interacting adults
3) Link adolescents with behavioral health issues to mental, emotional, and behavioral health assistance and services
4) Increase the number of collaborative partnerships with youth- serving community agencies/programs
5) Conduct outreach and engagement strategies with adolescents and their families/caregivers to increase awareness of and promote positive behavioral health

Impact: Collaboration and partnerships can help drive awareness of mental health issues and training adolescents in Youth Mental Health First Aid (YMHFA) can help spread awareness of mental health resources and referrals to professionals.

Spectrum Vocational Services (Downers Grove, IL)

Filed under Good Idea, Economy / Employment, Adults

Goal: Spectrum Vocational Services provides individuals with autism and other developmental disabilities the opportunity to achieve career and personal goals.

SPORT (USA)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children, Teens

Goal: The goal of SPORT is to help adolescents avoid substance use by increasing physical activity and bettering their self images.

Impact: This program provides a whole body experience, where youth focus on improvements in their lives instead of drugs.

SPORT

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens

Goal: To reduce substance abuse and motivate positive behaviors including physical activity in adolescents age 13-17.

Impact: SPORT integrates content targeting alcohol, tobacco and drug prevention with promotion of physical activity and other health enhancing habits in adolescents.

Step By Step: Thoughtful Fall Prevention (Hartford, CT)

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The goal of this program is to embed a sustainable evidence-based fall prevention program within greater Hartford senior centers by enhancing fall prevention-related knowledge and behavior, while also building or enhancing relationships between senior centers and relevant community and health care organizations.

Step It Up: Taking Steps to Healthy Success (Kansas City)

Filed under Effective Practice, Health / Children's Health, Children

Goal: Kansas’s Step It Up: Taking Steps to Healthy Success (Step It Up) Project aims to work towards making improvements to policies and practices in child care programs with regard to breastfeeding, child nutrition, physical activity, outdoor learning, and reductions in screen time. Step It Up is an extension of the National Early Care and Education Learning Collaboratives Project (ECELC) and uses a similar learning collaborative model.

Impact: Step It Up: Taking Steps to Healthy Success has made great improvements in promoting healthy eating and physical activity. The topics of Child Nutrition and Infant & Child Physical Activity had the highest number of increases in best practices. Breastfeeding & Infant Feeding had the highest percentage of best practices being met at pre-assessment (55%).

Step-by-Step Approach to Sustain a Community Health Worker Intervention (Philadelphia, PA)

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.

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.