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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FAmily-CEntered (FACE) Advance Care Planning (Washington, D.C.)

Filed under Effective Practice, Health / Children's Health, Teens, Adults, Families

Goal: The goal of FACE-ACP is to give adolescents and adults living with a serious medical condition a voice by facilitating conversations between patients and their caregivers so they can achieve their goals and match medical treatment to their goals.

First Step to Success

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

Goal: The mission of the Institute on Violence and Destructive Behavior (IVDB) is to empower schools and social service agencies to address violence and destructive behavior, at the point of school entry and beyond, in order to ensure safety and to facilitate the academic achievement and healthy social development of children and youth. The primary goal of this program is to divert antisocial kindergartners from an antisocial behavior pattern during their subsequent school careers and to develop in them the competencies needed to build effective teacher- and peer-related, social-behavioral adjustments.

Florida Youth ChalleNGe Academy (Florida)

Filed under Evidence-Based Practice, Education / Student Performance K-12, Teens, Rural

Goal: The goal of the program is to intervene in the lives of high-school dropouts and provide them with the values, life skills, education, and self-discipline necessary to succeed.

Focus on Youth (FOY) with Informed Parents and Children Together (ImPACT) (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Focus on Youth is to teach youth the skills and knowledge they need to protect themselves from HIV and other STDs.

Impact: The Focus on Youth intervention increased self-reported condom use and positively affected perceptions six months after the end of the program.

Foster Children's Project (Palm Beach)

Filed under Evidence-Based Practice, Community / Governance, Children, Urban

Goal: To advocate for children and help them resolve their most pressing legal problem: being in the custody of the state when they need to be in the custody of a family - biological or adoptive - within the 12 months provided by law.

Impact: Children represented by the Foster's Children Project were more likely to exit the foster system to permanency due to higher rates of adoption and long-term custody, but not reunification, than their peers not represented by FCP.

Functional Family Therapy

Filed under Evidence-Based Practice, Community / Social Environment, Children, Teens, Families

Goal: The goal of this program is to provide positive family strengthening resources to youth at risk and in need.

Genesee County Land Bank (Genesee, MI)

Filed under Good Idea, Economy / Housing & Homes

Goal: The goal of the Genesee County Land Bank is to return land obtained through foreclosure to the tax roll at a higher and better condition than when received.

Georgia's Teenage and Adult Driver Responsibility Act (Georgia)

Filed under Evidence-Based Practice, Community / Public Safety, Teens

Goal: The goal of TADRA is to reduce fatal crashes among teenage drivers.

Impact: After the implementation of TADRA, speed-related fatal crashes were cut by 42%, and alcohol-related fatal crashes decreased nearly 60%.

Health Equity: Tenant-Based Housing Voucher Programs

CDC

Filed under Evidence-Based Practice, Economy / Housing & Homes

Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).

Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.

CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.

Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.

Health in All Policies (California)

Filed under Good Idea, Community / Governance, Racial/Ethnic Minorities

Goal: The ultimate goal of this approach is to fundamentally change government so that agencies are aligned around a common vision for a healthy and equitable society, and so that health is considered in decision-making across sectors and policy areas.

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.