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, 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 / Family Planning, Teens
Goal: The goal of this program is to decrease pregnancy in adolescent and teenage girls.
Impact: Those who participated in one or more program components were significantly less likely to experience pregnancy than nonparticipants (5.9% vs 12.3%). Those who participated in two or more program components were significantly less likely to engage in sexual intercourse without birth control than those who participated in only a single program component (8.9% vs 20.6%).
Filed under Good Idea, Health / Family Planning, Teens
Goal: The goals of GO! are:
- to delay the initiation of sexual intercourse among males ages 12-14 to reduce teenage pregnancy in Frederick County
- to increase parent child communication
- to increase community awareness regarding adolescent sexuality
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Children, Teens, Families, Urban
Goal: The mission of Head to Toe is to teach children and their families the skills to manage body weight as they grow by living a healthy lifestyle that includes regular physical activity, healthy eating habits, and a positive self-image.
Impact: From August 2011 to May 2016, 485 children and their parents or guardians have enrolled in the Head to Toe program. Head to Toe has effectively increased knowledge of nutrition, physical activity and emotional health among participants.
Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Racial/Ethnic Minorities
Goal: To evaluate the association of a “Housing First” intervention for chronically homeless individuals with severe alcohol problems with health care use and costs.
Impact: Total cost offsets for Housing First participants relative to controls averaged $2449 per person per month after accounting for housing program costs.
Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education
Impact: The Community Preventive Services Task Force (CPSTF) recommends center-based early childhood education programs (ECE) to improve educational outcomes that are associated with long-term health as well as social- and health-related outcomes. Economic evidence indicates there is a positive return on investment in early childhood education. The benefits from students' future earnings gains alone exceed program costs.
If targeted to low-income or racial and ethnic minority communities, ECE programs are likely to reduce educational achievement gaps, improve the health of these student populations, and promote health equity.
Filed under Evidence-Based Practice, Education / Student Performance K-12, Children
Goal: The goal of full-day kindergarten programs is to prepare children academically, socially, and emotionally for effective participation in the educational system.
Impact: Children who enroll in full-day kindergarten programs see improved scores on standardized tests and assigned grades than those enrolled in half-day kindergarten programs. Those enrolled in full-day programs also see increased social-emotional health.
Filed under Evidence-Based Practice, Economy / Housing & Homes
Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).
Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.
CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.
Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.
Filed under Evidence-Based Practice, Health / Heart Disease & Stroke
Filed under Evidence-Based Practice, Health / Other Conditions, Adults, Older Adults
Goal: The program is focused on reduction of pain and improvement of function for arthritis patients unable or unwilling to attend small group ASMPs, which have proven effective in changing health-related behaviors and improving health status measures.