Promising Practices

Filed under Good Idea, Community / Public Safety, Families, Racial/Ethnic Minorities, Rural

Goal: In an effort to prepare and engage community residents to take a more participatory role in their communities, Monterey County Health Department (MCHD) developed and has offered since 2014 a leadership and civic engagement program (enLACE) that addresses the social determinants of health, community engagement and their relationship to the health of the community.

Filed under Good Idea, Environmental Health / Environmental Justice, Racial/Ethnic Minorities, Urban

Goal: The goal of the Environmental Health Leadership Training is to inform and empower the predominately low income people of three urban communities in Northern Manhattan (Central Harlem, West Harlem, and Washington Heights) to improve their capacity to organize for community environmental health and justice in New York City. The long term goal of these efforts is to help intervene and reduce exposure to environmental toxicants which are adversely affecting the health of disadvantaged, medically underserved, predominantly African American and Latino populations in Northern Manhattan.

Filed under Evidence-Based Practice, Environmental Health / Built Environment, Urban

Goal: The goal is to use a medical-legal collaborative intervention to force landlords into maintaining healthy living conditions for residents with poorly controlled asthma.

Impact: This proof-of concept study exhibits that medical-legal collaboration can significantly impact the control of inner-city asthmatics by improving their domestic environment.

Filed under Evidence-Based Practice, Health / Physical Activity

Goal: MANNA uses nutrition to improve health for people with serious illnesses who need nourishment to heal. By providing medically tailored meals and nutrition education, we empower people to improve their health and quality of life.

Impact: MANNA members report significant health care cost reductions due to improved health.

Filed under Good Idea, Education / Literacy, Families

Goal: The program's goal is to provide school readiness activities for families with children, from birth to five years old, who live in isolated and under-served areas of Marin County.

Filed under Evidence-Based Practice, Economy / Poverty, Adults, Women, Men, Families, Urban

Goal: The goal of the Family Peer Support program is to increase family economic and social self-sufficiency, and to connect parents to needed physical health, behavior health, and educational resources for their child. Family peer support programs generally focus on fostering encouragement of personal responsibility and self-determination, improving family health and wellness, and supporting engagement and communication with providers and systems of care. Research shows that peer support programs promote empowerment and self-esteem, self-management, engagement and social inclusion, as well as improving the social networks of families who receive these services. Research evidence qualifies peer support services as evidence-based through the Agency for Healthcare Research and Quality guidelines.

Salzer MS, Schwenk E, Brusilovskiy E: Certified peer specialist roles and activities: results from a national survey. Psychiatric Services 61:520–523, 2010.
Repper J, Carter T: A review of the literature on peer support in mental health services. Journal of Mental Health 20: 392–411, 2011.
Cook JA: Peer-delivered wellness recovery services: from evidence to widespread implementation. Psychiatric Rehabilitation Journal 35:87–89, 2011

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

Goal: To improve children's nutritional status, increase their activity level, enhance their self-esteem, and create life-long health habits by using a multidisciplinary, community- and family-based system approach, and by engaging local health care professionals with community agencies.

Impact: The Fit Kids/Fit Families program shows that multidisciplinary, community- and family-based approaches to children's exercise, weight, & nutrition can have an effect on healthier nutritional choices, increased physical activity, decreased sedentary activity, healthier behaviors, and BMI reductions.

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Focus on Youth is to teach youth the skills and knowledge they need to protect themselves from HIV and other STDs.

Impact: The Focus on Youth intervention increased self-reported condom use and positively affected perceptions six months after the end of the program.

Filed under Evidence-Based Practice, Community / Governance, Children, Urban

Goal: To advocate for children and help them resolve their most pressing legal problem: being in the custody of the state when they need to be in the custody of a family - biological or adoptive - within the 12 months provided by law.

Impact: Children represented by the Foster's Children Project were more likely to exit the foster system to permanency due to higher rates of adoption and long-term custody, but not reunification, than their peers not represented by FCP.

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

Goal: The goal of FAST is to improve patients' independence and quality of life.

Impact: Studies have shown that FAST-treated patients' performance on everyday living skills improved significantly compared to non-participants. They also demonstrated significant improvement in social and communication skills at 6-month follow-up.