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.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Women, Men, Racial/Ethnic Minorities, Urban
Goal: The goal of the Baltimore Needle Exchange Program is to reduce HIV, hepatitis, and other infections by reducing the use of unclean needles and to help individuals overcome substance abuse by connecting them to harm reduction services and drug treatment programs. The experimental case manager intervention program at the Baltimore NEP looked to increase the percentage of intravenous drug users who enrolled in city sponsored substance abuse programs following referral at the Baltimore NEP sites.
Impact: The intervention program through Baltimore NEP was effective in increasing entry of intravenous drug users into drug drug treatment programs and highlights the need for more accessible treatment programs and harm-reduction services, such as mobile treatment facilities.
Filed under Evidence-Based Practice, Health / Physical Activity, Adults
Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Urban
Goal: The goal of the Chicago Housing Health Partnership is to use tailored case management to place chronically medically ill homeless individuals in stable, long-term housing and facilitate access to medical services.
Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care (Chicago, Illinois)
Filed under Effective Practice, Economy / Housing & Homes, Adults, Urban
Goal: To assess the costs of a housing and case management program in a novel sample: homeless adults with chronic medical illnesses.
Impact: Compared to usual care, the intervention group generated an average annual cost savings of (−)$6,307 per person (95 percent CI: −16,616, 4,002; p = .23). Subgroup analyses of chronically homeless and those with HIV showed higher per person, annual cost savings of (−)$9,809 and (−)$6,622.
Filed under Evidence-Based Practice, Health / Children's Health, Children
Goal: The goal of this study was to reduce pediatric asthma-related symptoms by installing central heating in homes.
Impact: Central heating successfully improves home heating, dampness, and energy efficiency. Through home modifications, asthma-related symptoms (nocturnal cough and days lost from school) can be reduced among children.
Effect of a housing and case management program on emergency department visits and hospitalizations among chronically ill homeless adults: a randomized trial (Chicago, Illinois)
Filed under Effective Practice, Economy / Housing & Homes, Adults, Women, Men, Older Adults, Racial/Ethnic Minorities
Goal: To assess the effectiveness of a case management and housing program in reducing the use of urgent medical services among homeless adults with chronic medical illnesses.
Impact: For every 100 homeless adults offered the intervention, the expected benefits over the next year would be 49 fewer hospitalizations, 270 fewer hospital days, and 116 fewer ED visits.
Filed under Effective Practice, Health / Mental Health & Mental Disorders, Children, Urban
Goal: The goals of the program are to reduce the levels of depression and risk of destructive behaviors among grieving adolescents.
Filed under Effective Practice, Economy / Employment, Racial/Ethnic Minorities, Urban
Goal: The goal of this program is to provide assistance to clients whose primary language is not English.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens, Adults
Goal: The New York State Smokers' Quitline is a free and confidential service that provides effective stop smoking services to New Yorkers who want to stop smoking.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases
Impact: The Community Preventive Services Task Force (CPSTF) recommends school and organized child care center-located vaccination programs based on strong evidence of effectiveness in increasing vaccination rates, and in decreasing rates of vaccine-preventable disease and associated morbidity and mortality.
The updated CPSTF recommendation is based on findings from 27 studies in which vaccination programs in schools or child care centers:
-Provided vaccinations on site
-Were administered by a range of providers including school health personnel, health department staff, and other vaccination providers
-Were delivered in a variety of different school and organized child care settings
-Delivered one or more of a range of vaccines recommended for children and adolescents, and
-Included additional components such as education, reduced client out-of-pocket costs, and enhanced access to vaccination services
School- and organized child care center-located vaccination programs may be most useful in improving immunization rates among children and adolescents for new vaccines, and vaccines with new, expanded recommendations (such as the annual immunization for seasonal influenza) where background rates are likely to be very low and improvements in coverage are needed.