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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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Georgia's Teenage and Adult Driver Responsibility Act (Georgia)

Filed under Evidence-Based Practice, Community / Public Safety, Teens

Goal: The goal of TADRA is to reduce fatal crashes among teenage drivers.

Impact: After the implementation of TADRA, speed-related fatal crashes were cut by 42%, and alcohol-related fatal crashes decreased nearly 60%.

Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems

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.

HIV/STD Risk Reduction Interventions for African American and Latino Adolescent Girls (Philadelphia)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of this intervention was to reduce self-reported unprotected sexual intercourse among African American and Latino adolescent girls.

Impact: Skill-based HIV/STD interventions can improve condom-use and reduce sexual risk behaviors, along with STD rates, among African American and Latino teen girls in clinical settings.

Linking the Interests of Families and Teachers (LIFT) (Eugene, OR)

Filed under Evidence-Based Practice, Community / Crime & Crime Prevention, Children, Urban

Goal: Linking the Interests of Families and Teachers (LIFT) is a research intervention program designed to prevent the development of aggressive and antisocial behavior.

Impact: Evidence suggests that LIFT can be a useful tool for promoting effective parenting in the home and decreasing aggressive behaviors with peers at school and on the playground. LIFT participants exhibited a decrease in child physical aggression toward classmates on the playground, an increase in teachers' positive impressions of child social skills with classmates, and a decrease in parents' aversive behavior during family problem-solving discussions.

Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults, Urban

Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.

Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.

Medicaid Savings Resulted When Community Health Workers Matched Those With Needs To Home And Community Care (Arkansas)

Filed under Evidence-Based Practice, Economy / Government Assistance, Older Adults

Goal: The goal of this program is to reduce costs by using specially trained community health workers to help connect people with unmet long-term needs and/or those at risk of entering nursing homes to Medicaid home and community-based services.

Impact: Similar interventions may help other localities achieve cost-saving and equitable access to publicly funded long-term care options other than institutional care.

Mental Health: Targeted School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends targeted school-based cognitive behavioral therapy programs to reduce depression and anxiety symptoms among school-aged children and adolescents who are assessed to be at increased risk for these conditions.

Mental Health: Universal School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends universal school-based cognitive behavioral therapy programs to prevent or reduce depression and anxiety symptoms among school-aged children and adolescents.
The CPSTF also recommends Targeted School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms for students who are assessed to be at increased risk for these conditions, and group and individual CBT to reduce psychological harm from traumatic events among children and adolescents.

Motivational Interviewing and Feedback for College Drinkers (Dallas, TX)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens, Adults, Women, Men

Goal: The goal of the promising practice is to reduce binge-drinking behavior in college students using motivational interviewing and personalized feedback techniques.

Impact: At an eight-week follow-up, all four groups reduced their consumption, peak BAC, consequences, and dependence symptoms.

Nevada’s Reemployment and Eligibility Assessment Program (Las Vegas, NV)

Filed under Evidence-Based Practice, Education, Adults

Goal: The goal of the program is to enhance services to unemployment insurance (UI) claimants and connecting to reemployment opportunities by collaborating efforts between Employment Services (ES) and Unemployment Insurance to be provided at the same time. This collaborative helps customer service by making follow-up easier and build rapport with the customers. Additionally, it sought to save time by cutting out the middle man and saving money by combining both the National Reemployment Services (RES) and Reemployment and Eligibility Assessment (REA) initiatives.

Impact: REA participants received 3.13 fewer weeks of benefits compared to control group peers and received $536 less in regular UI benefits. Program participants were 20 times more likely to obtain employment in the first 2 quarters after program entry.

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.