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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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 Los Angeles Jobs-First Greater Avenues for Independence (GAIN) Program

Filed under Evidence-Based Practice, Economy / Government Assistance, Adults, Families

Goal: GAIN is part of a large-scale, welfare-to-work initiative program operating in every county in California. In L.A. County, the initiative is under the supervision of the Department of Public Social Services. It helps local businesses and employers find and hire quality workers who seek meaningful employment. Prospective workers are participants in the state welfare programs known as California Work Opportunities and Responsibility to Kids (CalWORKS) or General Relief Opportunities for Work (GROW).

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 Seattle-King County Healthy Homes Project (Seattle-King County, Washington)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families

Goal: The goals of the Seattle-King Healthy Homes project are: to increase knowledge of home environmental health threats and asthma self-management among households with a child who suffers from asthma; help households reduce environmental threats in the household; improve health status and reduce asthma-related medical care utilization.

The Youthnet Trials (Denver, CO)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Teens, Urban

Goal: The goal of the progarm is to use online-based modules to promote protected sex and prevent HIV transmission among teens.

Tobacco Use: Community Mobilization with Additional Interventions to Restrict Minors’ Access to Tobacco Products

CDC

Filed under Evidence-Based Practice, Health / Tobacco Use

Impact: The Community Preventive Services Task Force (CPSTF) recommends community mobilization combined with additional interventions such as stronger local laws directed at retailers, active enforcement of retailer sales laws, and retailer education with reinforcement on the basis of sufficient evidence of effectiveness in reducing youth tobacco use and access to tobacco products from commercial sources.

Too Good for Drugs

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

Goal: This program is designed to reduce students' intentions to use alcohol, tobacco, and illegal drugs.

Impact: Studies show that the program significantly reduces the proportion of students with intentions to drink alcohol and smoke. Participants also showed significantly increased use of personal and social skills, increased engagement in prosocial behaviors, and decreased engagement in inappropriate social behaviors.

Too Good for Violence (Tampa, FL)

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens

Goal: The goal of the TGFV program is to help students learn the skills they need to get along peacefully with others and avoid violence.

Impact: Too Good programs empower children with the social-emotional learning and substance abuse prevention skills they need to lead happy and healthy lives.

Trauma Recovery and Empowerment Model (TREM)

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

Goal: The goal of this program is to facilitate trauma recovery among women with histories of exposure to sexual and physical abuse.

Impact: Studies demonstrated that TREM participants showed a significant reduction in severity of problems related to substance use from baseline to 12-month follow-up relative to the comparison group. Reduced trauma symptoms were also significantly greater for the intervention group than for the comparison group at 12-month follow-up. Furthermore, the intervention group had significantly reduced symptoms of psychological problems 1 year after the intervention.

Triple P - Positive Parenting Program (South Carolina)

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

Goal: Triple P aims to prevent maltreatment and behavioral, emotional and developmental problems in children by strenghtening the knowledge, skills and confidence of parents.

Impact: The program found a 25-35% reduction in child maltreatment, child maltreatment related hospitalizations and injuries, and foster home placements of children for young children at two-year followup of the program.

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.