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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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Athletes Training and Learning to Avoid Steroids (ATLAS) (Portland, OR)

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

Goal: The goal of ATLAS is to reduce anabolic steroid, alcohol, and other illicit drug use by adolescent male athletes.

Impact: Student participants of ATLAS had significantly lower intent to use anabolic steroids at both the end of the athletic season and at the 1-year follow-up. Students in the intervention also significantly reduced illicit drug use and were significantly less likely to report drinking and driving.

Baltimore Healthy Carryout Project (Baltimore, MD)

Filed under Effective Practice, Health / Physical Activity, Teens, Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of the Baltimore Healthy Carryout project was to increase healthy food options at carryout facilities and restaurants in Baltimore's low-income neighborhoods.

Impact: The BHC project reached 36.8% more customers during the intervention period than at baseline when comparing intervention carryouts to comparison carryouts. Customers reported purchasing specific foods due to the presence of a photo on the menu board (65.3%) or menu labeling (42.6%).

Behavioral Couples Therapy for Alcoholism and Drug Abuse (BCT)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use

Goal: The goal of Behavioral Couples Therapy for Alcoholism and Drug Abuse is to improve success rates for treatment of alcoholism and drug abuse by involving intimate partners in the treatment process.

Impact: Numerous studies of the program have shown positive outcomes in five areas: substance abuse, quality of relationship with partner, treatment compliance, intimate partner violence, and children's psychosocial functioning. BCT clients also reported more relationship satisfaction than non-participants.

Chicago Commons Employment Training Center (Chicago, IL)

Filed under Effective Practice, Economy / Employment, Families, Urban

Goal: The mission of Chicago Commons is to help individuals, families and communities to overcome poverty, discrimination and isolation.

Consortium to Lower Obesity in Chicago Children (CLOCC) (Chicago, IL)

Filed under Good Idea, Health / Physical Activity, Children, Families, Urban

Goal: CLOCC's mission is to confront the childhood obesity epidemic by promoting healthy and active lifestyles for children throughout the Chicago metropolitan area.

Impact: The Consortium to Lower Obesity in Chicago Children brings together researchers, public health advocates and practitioners, and the children, families, and communities of Chicagoland to prevent childhood obesity.

Focus on Youth (FOY) with Informed Parents and Children Together (ImPACT) (Baltimore, MD)

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.

Healthy Parks and the Interface between State and Local Policy Change (California)

Filed under Good Idea, Community / Governance, Urban

Goal: The goal of the Statewide Park Development and Community Revitalization Act is to ensure that funding for new parks and green spaces is prioritized for critically underserved and disadvantaged urban communities.

Home Again: A Ten Year Plan to End Homelessness in Portland and Multnomah County (Portland and Multnomah County, OR)

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

Goal: The goal of this program is to end homelessness in the City of Portland and Multnomah County by 2015. As efforts to end homelessness continue, city and county officials will focus on nine actions. Programs throughout the county will address moving people into Housing First, ending the practice of discharging people into homelessness from jails and hospitals, improving outreach, emphasizing permanent solutions, increasing the housing supply, creating new partnerships, improving the rent assistance system, increasing economic opportunity for homeless people and implementing new data collection technology.

Housing as Health Care - New York’s Boundary-Crossing Experiment (New York)

Filed under Good Idea, Economy / Housing & Homes

Goal: The goal of this experiment is to estimate the effects of New York’s plan for supportive housing for high-need, high-cost Medicaid recipients.

Impact: Placing people who are homeless in supportive affordable housing paired with supportive services such as on-site case management and referrals to community-based services can lead to improved health, reduced hospital use, and decreased health care costs.

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.