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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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Uniting for Solutions Beyond Shelter (New York, NY)

Filed under Effective Practice, Economy / Housing & Homes, Urban

Goal: The goals of Uniting for Solutions Beyond Shelter are:
- To reduce street homelessness and the shelter population by two-thirds in five years.
- To eliminate chronic, or long-term, homelessness on City streets and shelters in five years.

The plan's objectives include initiatives to better serve individuals and families who are at-risk of homelessness or who become homeless, as well as ensure that the City and its citizens are maximizing public resources. The plan has nine points - encompassing 60 initiatives - that seek to:

- Overcome street homelessness
- Prevent homelessness
- Coordinate discharge planning
- Coordinate city services and benefits
- Minimize disruption to homeless families and children
- Minimize duration of homelessness
- Shift resources into preferred solutions
- Provide resources for vulnerable populations to access and afford housing
- Measure progress, evaluate success, and invest in continuous quality improvement.

Vaccination Programs: Standing Orders

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends standing orders for vaccinations—when used alone or when combined with additional interventions—to increase vaccination rates among adults and children from different populations or settings.

Worcester Area Trial for Counseling in Hyperlipidemia (WATCH) (Massachusetts)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults

Goal: To decrease total and saturated fat intake, serum low-density lipoprotein cholesterol levels, and body weight.

Impact: The dietitian-delivered intervention effectively improved the care of patients with hyperlipidemia.

Worcester Goods for Guns Buyback (G4G) Program (Worcester, MA)

Filed under Evidence-Based Practice, Community / Public Safety, Children, Teens, Adults, Families, Urban

Goal: The goals of this program are three-fold: first, to remove unwanted improperly stored guns from homes; second, to educate the community about the increased risk of gun-related injuries in the home and the importance of safe gun storage; and third, to identify individuals possessing improperly stored guns at home and provide them with safety information and alternatives.

Impact: This program shows a strong collaboration between health care providers and public safety offices and showcases a low-cost means of removing unwanted firearms from the community. Additionally, most participants felt their homes were safer after turning in their firearm(s).

A Matter of Degree (USA)

Filed under Effective Practice, Health / Alcohol & Drug Use, Teens

Goal: The goal of the A Matter of Degree program is to reduce student drinking and driving after drinking.

A Reason to Survive (ARTS) (San Diego, California)

Filed under Good Idea, Art & Recreation / Art, Children, Teens, Families, Racial/Ethnic Minorities, Urban

Goal: ARTS is dedicated to healing, inspiring and empowering children facing life challenges by providing innovative arts-based programs, education and opportunities.

Acupuncturists Without Borders (Sandia Park, NM)

Filed under Good Idea, Health / Alternative Medicine

Goal: The mission of Acupuncturists Without Borders is to help alleviate suffering of people worldwide through community acupuncture treatment and training.

All Children Excel (ACE) (Ramsey County, MN)

Filed under Effective Practice, Education / Student Performance K-12, Children

Goal: The goal of this program is to prevent delinquency, substance abuse, and school dropout in high risk children.

Antismoking Media Campaign (Massachusetts)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens

Goal: To reduce the number of older adolescents who progress to established smoking.

Impact: The television component of the Massachusetts antismoking media campaign may have reduced the rate of progression to established smoking among young adolescents.

Appalachian Violence Outreach Network (AVON) (Kentucky)

Filed under Effective Practice, Community / Domestic Violence & Abuse, Rural

Goal: The goal of the Appalachian Violence Outreach Network is to identify and provide services to women living in rural, underserved areas that have experienced interpersonal violence.

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.