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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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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.

Assisting in Rehabilitating Kids (ARK) (Mississippi)

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

Goal: The goal of Assisting in Rehabilitating Kids (ARK) is to increase abstinence and safer sex behaviors among substance-dependent adolescents.

Impact: The ARK program successfully increased sexual abstinence among those who received all components: health information, behavior skills training, and risk-sensitization manipulation, with the inclusion of the latter being more resistant to decay over time.

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.

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.

Baltimore Needle Exchange Program (Baltimore, MD)

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.

Baton Rouge Partnership for the Prevention of Juvenile Gun Violence (Baton Rouge, LA)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children, Urban

Goal: The partnership uses a comprehensive strategy with four specific goals:

1. Carry out a multi-agency law enforcement (suppression) strategy to reduce gun-related and other violent crimes committed by youths 17 and older.
2. Operate an intensive intervention program to reduce the risk factors for the highest risk youths, their families, and the community.
3. Mobilize the community at the grassroots level to address the problems of hard-to-reach families and the highest risk youths.
4. Operate a long-range prevention program that identifies, links, and strengthens existing resources to serve youths who may be at risk.

Bay Area Regional Health Inequities Initiative (BARHII) (San Francisco Bay Area)

Filed under Good Idea, Health

Goal: The mission of BARHII is to transform public health practice for the purpose of eliminating health inequities using a broad spectrum of approaches that improve community health. Consistent with that mission, BARHII has set the following objectives:

- Train staff on broad spectrum of strategies to improve nutrition and physical activity, and reduce health inequities.
- Develop regional collaborations of public health departments, organizations, coalitions and communities to participate in a comprehensive approach to improve nutrition and physical activity.
- Develop a media advocacy campaign to raise awareness among policy makers and the general public about key issues of nutrition and physical activity, and their link to chronic disease and health inequities.
- Use the regional platform to achieve changes in institutional practices and public policies, and increase support for public health.

Bay Cove Academy's Career Development Program (Brookline, MA)

Filed under Effective Practice, Health / Disabilities, Children, Teens

Goal: The mission of this program is to stabilize students, help them earn their high school diploma, and prepare them for a future as productive workers.

Baystate-Springfield Educational Partnership (BSEP) (Springfield, MA)

Filed under Good Idea, Education / Educational Attainment, Children, Teens, Urban

Goal: The goal is to guide students from underserved communities towards careers in healthcare, simultaneously fulfilling workforce needs.

Be Smart & Seal Them! (Washington)

Filed under Good Idea, Health / Oral Health

Goal: The goal of the Be Smart & Seal Them! program is to provide dental sealants proven to prevent tooth decay to second grade students.

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.
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