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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Required Influenza Vaccination for Children in Licensed Child Care or Preschool Programs

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

Goal: The goal of requiring that all Connecticut children receive at least 1 dose of influenza vaccine each year to attend a licensed child care program and preschool setting is to reduce influenza transmission and decrease influenza-associated hospitalizations statewide.

Impact: Requiring vaccination for admission into a licensed child care program or preschool program has helped to increase vaccination rates among children in Connecticut and reduced serious morbidity from influenza statewide.

Safe Streets (Baltimore, MD)

Filed under Evidence-Based Practice, Community / Crime & Crime Prevention, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: To combat the epidemic of violence among Baltimore’s youth and support traditional public safety strategies using a combination of public health and human service models to reduce violence.

Impact: It was estimated that the program was associated with 5.4 fewer homicide incidents and 34.6 fewer nonfatal shooting incidents during 112 cumulative months of intervention post observations.

School-Based Asthma Therapy (Rochester, NY)

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

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

Schools and Families Educating Children (SAFEChildren)

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

Goal: The goal of the program is to help families gain or increase parenting and family management skills that would facilitate successful child academic and social adjustment and, therefore, to promote social and academic competence and to lower risk for later antisocial behavior. In addition, the intervention concentrates on promoting initial academic success.

Impact: Children who received the intervention improved in overall reading ability at a more rapid rate than those who did not receive the intervention. In addition, SAFEChildren participants showed an improvement in concentration.

Seeking Safety

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

Goal: The goal of this program is to help clients move beyond trauma and substance abuse.

Impact: Multiple evaluations of the Seeking Safety program in various settings have shown positive outcomes for substance abuse/addiction, substance abuse disorder, and post-traumatic stress disorder.

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.

Social work-based transitional care intervention for super utilizers of medical care

Filed under Evidence-Based Practice, Health / Intervention Data, Urban

Goal: The goal of this study is to evaluate the effectiveness of a social work intervention aimed to address the medical and social needs of inpatient super-utilizers.

Impact: This intervention was modeled after the "Bridge Model" by intensifying patient engagement with an average of 40 patient contacts over 6 months following an index admission. This intervention has the potential to reduce health services utilization and cost among inpatient super utilizers.

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.

St. Peter's Dental Program (Albany, NY)

Filed under Good Idea, Health / Oral Health, Children, Older Adults, Urban

Goal: The goal of St. Peter's Dental Program is to improve access to dental care and treatment for the poor, elderly, and under served populations living in and around Albany, New York.

Staying Alive Drug Overdose Prevention and Response Program (Baltimore, MD)

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

Goal: The goals of the Staying Alive program are to teach drug users about how to recognize opiate overdose signs and symptoms, how to respond to any overdose cases by calling 911, and how to use rescue breathing and naloxone administration to reduce life-threatening drug overdose.

Impact: Staying Alive reduces mortality due to opiate and heroin drug overdose.

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.