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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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Medical Legal Partnerships: Embedding Civil Legal Aid Services in Care for High-Utilizing Patients (Lancaster, PA)

Filed under Effective Practice, Community / Governance, Children, Teens, Adults, Families, Urban

Goal: The goal of the pilot was to assess the impact on health care use of addressing patients’ civil legal problems – the social, financial, or environmental problems that require assistance from lawyers to remedy. The lawyer was embedded in the health care team and present during case management discussions to identify specific civil legal problems and to help the team better understand how to address them. Additionally, this partnership provided civil legal aid services to patients when needed in a community health care system.

Impact: This pilot shows a medical-legal partnership for the super-utilizers of healthcare can lead to efficiencies within the health care system, reduce costs, and improve health outcomes among the most vulnerable patients.

Project Making a Group and Individual Difference (MAGIC) (Elko, NV)

Filed under Good Idea, Community / Crime & Crime Prevention, Teens, Rural

Goal: The goal of Project MAGIC is to help juvenile offenders leave the criminal justice system.

Project Youth Green (San Fernando Valley, CA)

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens, Adults, Families

Goal: The Project Youth Green project is a community garden project that aims to involve families and youth in learning about local, sustainable food and gardening projects. The four acre community revitalization project focuses on youth education, community gardening and physical exercise.

Public Health Surveillance and Communications Using Regional Emergency Medicine Internet (REMI) (Milwaukee, WI)

Filed under Effective Practice, Community / Social Environment

Goal: The goal of this program is to provide real-time information about fast-breaking environmental hazards, communicable outbreaks, or terrorist events.

Quality Improvement Project to Improve the Immunization Rate in the Women, Infant, and Children Program (Reno County, KS)

Filed under Good Idea, Health / Children's Health, Children, Families, Urban

Goal: The goal of this program is to increase the immunization rate of WIC children.

Impact: The WIC immunization rate for 2 year olds increased from 33% in the 3rd quarter of 2011 to 83% in the 4th quarter of 2012. The no-show rate for WIC appointments decreased from 68% to 27.6%.

Adolescents Living Safely (New York City, NY)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Urban

Goal: The goal of Adolescents Living Safely is to prevent HIV infection and AIDS among runaway adolescents.

Impact: Adolescents Living Safely changes youth sexual behavior to reduce transmission of HIV among runaways.

Body Project (Dissonance Intervention)

Filed under Evidence-Based Practice, Health / Physical Activity, Teens, Women

Goal: The Body Project is a dissonance intervention designed to help women in high school and college resist societal and cultural pressures to conform to an idealized notion of what it means to be 'thin' and to help increase body acceptance. A reduction in thin-ideal internalization should result in reduced use of unhealthy weight-control behaviors, decreased eating disorder symptoms, and overall increase in mood and well-being.

Impact: The Body Project program has yielded numerous significant benefits at posttest and 6 months, 1 year, 2 years, and 3 years after program implementation. These include significant reductions in body dissatisfaction, bulimic symptoms and psychosocial impairment compared to control group participants.

Choosing Life: Empowerment, Actions, Results (CLEAR) (USA)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Children, Teens

Goal: The goal of the CLEAR intervention is to empower HIV-positive youth to reduce risk behaviors and improve mental and physical health.

Clinician-Based Cognitive Psychoeducational Intervention for Families (Family Talk)

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

Goal: The goal of this program is to provide information about mood disorders to parents, equip parents with skills they need to communicate this information to their children, and open dialogue in families about the effects of parental depression.

Impact: Parents in the program scored better in their reports of child-related behavior and attitude changes of parental illness than parents who received a group-format presentation. Children in the program scored higher on measures of improved understanding of parental mood disorder than children who received a group-format lecture.

Cognitive Behavioral Social Skills Training (San Diego, CA)

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

Goal: The goal of this program is to reduce disability in middle-aged and older people with schizophrenia.

Impact: At the end of treatment, CBSST participants had significantly greater cognitive insight scores, indicating more objectivity in reappraising psychotic symptoms relative to treatment as usual. At 1-year follow-up, participants in CBSST showed greater skill acquisition and significant improvements in social functioning relative to participants receiving treatment as usual.

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.