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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.

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Baltimore Needle Exchange Program (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Women, Men, Racial/Ethnic Minorities, Urban

Goal: The goal of the Baltimore Needle Exchange Program is to reduce HIV, hepatitis, and other infections by reducing the use of unclean needles and to help individuals overcome substance abuse by connecting them to harm reduction services and drug treatment programs. The experimental case manager intervention program at the Baltimore NEP looked to increase the percentage of intravenous drug users who enrolled in city sponsored substance abuse programs following referral at the Baltimore NEP sites.

Impact: The intervention program through Baltimore NEP was effective in increasing entry of intravenous drug users into drug drug treatment programs and highlights the need for more accessible treatment programs and harm-reduction services, such as mobile treatment facilities.

Being Alive (West Hollywood, CA)

Filed under Good Idea, Health / Alternative Medicine, Urban

Goal: Being Alive is a nonprofit membership organization created and operated by and for people living with HIV/AIDS that aims to build a healthier and more powerful community of HIV-positive people.

Blues Program (Cognitive Behavioral Group Depression Intervention)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Teens

Goal: To significantly reduce depressive symptoms and to reduce the rates of future major depressive disorder onset among adolescents.

Impact: The Blues Program has been shown to decrease depressive symptoms, decrease rates of major depression onset, decrease rates of substance use, and increase factors that are protective against depression.

Bob Janes Triage Center and Low Demand Shelter (Fort Myers, FL)

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

Goal: The goal of the Bob Janes Triage Center and Low Demand Shelter is to reduce the number of individuals with mental illness or substance use disorders who are arrested and sent to the County jail for minor offenses.

CareSouth Carolina and the Northeastern Rural Health Network (South Carolina)

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

Goal: The goal of CareSouth Carolina and Northeastern Rural Health Network is to improve the behavioral health wellness of patients and residents.

Impact: The partnership between CareSouth Carolina and Northeastern Rural Health Network has reduced the stigma regarding mental health issues, improved care coordination, and increased the likelihood that patients receive the physical and mental health support they need in order to be healthy.

Chain Restaurant Menu Labeling Law (Multnomah Country Oregon)

Filed under Good Idea, Health / Physical Activity

Goal: To enable consumers to make healthier choices when ordering food at chain restaurants.

Chatham County Jail Health Information Exchange

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

Goal: To have an EMR system that allows medical professionals to correctly diagnose and address the medical needs of incarcerated patients in the emergency room or in the prison system.

Impact: The program has allowed for greater accessibility and sharing of medical data.

Children’s Health Fund (USA)

Filed under Good Idea, Health / Health Care Access & Quality, Children

Goal: The Children’s Health Fund’s mission is to provide health care to the nation's most medically underserved children through the development and support of primary care medical programs. The fund also responds to public health crises and works to promote access to health care for all children.

Impact: Children's Health Fund provides medical, dental, and mental health care to approximately 83,000 low-income and homeless children and their family members each year through mobile medical clinics.

An Effective Practice meets the following HCI criteria:

  1. 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.
  2. 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:

  1. The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
  2. 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:

  1. 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.
  2. 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.
  3. 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.
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