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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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Assessment and Referral (Kansas City, MO)

Filed under Effective Practice, Health / Alcohol & Drug Use, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of Assessment and Referral is to help individuals struggling with a substance use disorder evaluate their needs and strengths and begin to make healthy choices that improve the overall quality of their lives.

Impact: First Call provided over 1,700 assessments in 2013, and more than half of clients showed improvements in their Addiction Severity Index (ASI) scores or a decrease in substance use.

Assisted Care/Aftercare (San Francisco, CA )

Filed under Good Idea, Health / Adolescent Health, Teens, Urban

Goal: To provide HIV positive youth aged 18 to 24 with stable housing situations and access to adequate medical services.

Assisted Competitive Employment Project (ACE) (Syracuse, NY)

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

Goal: The goal of the Assisted Competitive Employment Project is to assist individuals who have been diagnosed with a mental disorder in obtaining and maintaining employment.

Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial (Philadelphia)

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

Goal: The goal of the clinical trial was to evaluate the association between rideshare-based medical transportation and missed primary care appointments among Medicaid patients.

Impact: Although the uptake of ridesharing was low and did not decrease missed primary care appointments for this particular clinical trial, future studies trying to reduce missed appointments can explore alternative delivery models or target populations with stronger transportation needs.

Asthma Home Visiting Program (San Francisco, CA)

Filed under Effective Practice, Health / Respiratory Diseases, Children, Adults, Racial/Ethnic Minorities, Urban

Goal: The Asthma Home Visiting Program aims to reduce asthma triggers present in the home.

Impact: Home visiting can help reduce asthma triggers in the home, decreasing symptoms, missed days of work or school, and emergency room visits and hospitalizations.

At the Crossroads (ATC) (San Francisco, CA)

Filed under Good Idea, Health / Adolescent Health, Teens, Adults, Urban

Goal: The mission of At The Crossroads is to reach out to homeless youth and young adults at their point of need, and provide them with services and programs that will empower them and improve their lives.

Atlanta Streets Alive (Atlanta, GA)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Families, Urban

Goal: Atlanta Streets Alive seeks to shift the current car-centric dynamic and replace it with a proactive community that comes together on a regular basis to participate in active transportation, physical activity, cultural and artistic endeavors, and to enjoy our neighborhoods and communities from a different perspective-from the street.

Avenues to Independence (ATI) (San Francisco, CA)

Filed under Good Idea, Health / Adolescent Health, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: To provide shelter to homeless and at-risk young adults aged 18-24 as well as assistance to secure stable and independent living situations.

Baby Love (Rochester, NY)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Children, Teens, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of the Baby Love program is to improve health outcomes for at-risk mothers and their infants in Rochester, New York, by assisting in identifying potential risks and coordinating pre and postnatal care.

Baby-Friendly Hospital Initiative (Boston, MA)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Families, Urban

Goal: The goal of the project was to increase breastfeeding initiation rates through the implementation of Baby-Friendly policies.

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.