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, Health / Alcohol & Drug Use, Children, Teens, Urban
Goal: The objective of this program is to increase life skills such as risk assessment, decision-making and drug resistance, while enhancing anti-drug norms and attitudes.
Impact: Evaluation findings suggest that Keepin' it R.E.A.L. succeeded in decreasing substance use, in reducing negative attitudes/behaviors, and in improving positive attitudes/behaviors.
Filed under Evidence-Based Practice, Community / Social Environment, Children, Teens, Adults, Women, Men, Families, Urban
Goal: Research shows that children benefit from kinship care in many ways. Kinship care can reduce the trauma that children may have previously endured and the trauma that accompanies parental separation by providing them with a sense of stability and belonging in an otherwise unsettling time. Children who have been placed with relatives may have experienced chronic neglect and physical, sexual, or emotional abuse. While these experiences place children at risk for behavioral and health problems, a positive relationship with a caregiver and a stable and supportive living environment can mitigate their impact.1 Grandparents, other relative caregivers, and “fictive kin” — close friends holding a family-like bond with a child — are in a unique position to fill this supportive role and promote resiliency.
The goal of Kinship Connections is to support kin families' social, emotional, and economic needs to increase placement stability within the child’s community. Specific program objectives are to improve family economic security, family relationship functioning, child well-being, and to increase kin caregiver social support.
1Center on the Developing Child. (2007). The impact of early adversity on children’s development (InBrief). Retrieved from https://developingchild.harvard.edu/ resources/inbrief-the-impact-of-early-adversity-onchildrens-development.
2 Generations United. (2017). In loving arms: The protective role of grandparents and other relatives in raising children exposed to trauma. Retrieved from https://dl2.pushbulletusercontent.com/ uhDY7UgdGYnOod6G7VFkdKnuzE3yALmr/17- InLovingArms-Grandfamilies.pdf.
Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Men, Racial/Ethnic Minorities
Goal: Reduce unprotected insertive and receptive anal intercourse among HIV-negative black men who have sex with men (MSM) as well as to reduce the number of sex partners, increase consistent condom use during anal intercourse and increase testing for HIV and other sexually transmitted infections (STIs).
Filed under Good Idea, Community / Transportation, Children, Women, Men, Families, Urban
Goal: The goal of the trail is to provide a safe route for residents to travel to work, school, businesses and recreational areas.
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.
Filed under Evidence-Based Practice, Health / Older Adults, Older Adults
Goal: The objective of the study was to characterize the population of older adults on waiting lists for home-delivered meals and compare their health and health-related needs to the population of older adults living in the community.
Impact: Between baseline and follow-up, respondents receiving daily-delivered meals were more likely to exhibit:
• Improvement in mental health (i.e., anxiety)
• Improvement in self-rated health
• Reductions in the rate of falls
• Improvement in feelings of isolation and loneliness
• Decreases in worry about being able to remain in home
Filed under Evidence-Based Practice, Education, Teens
Goal: The mission of the National Guard Youth ChalleNGe program is to intervene in the lives of high-school dropouts and provide them with the values, life skills, education, and self-discipline necessary to succeed.
Impact: The National Guard Youth ChalleNGe program resulted in participants succeeding in several aspects of their lives compared to their control group counterparts. Program participants were more likely to have a GED certificate, more likely to have started college, and more likely to be working.
Filed under Effective Practice, Health / Older Adults, Older Adults, Rural
Goal: The purpose of the ombudsmen is to recognize potential problems and represent elderly and institutionalized clients throughout the state.
Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women, Urban
Goal: The program has three primary goals:
1) to improve pregnancy outcomes by promoting health-related behaviors;
2) to improve child health, development and safety by promoting competent care-giving; and
3) to enhance parent life-course development by promoting pregnancy planning, educational achievement, and employment.
The program also has two secondary goals: to enhance families' material support by providing links with needed health and social services, and to promote supportive relationships among family and friends.
Impact: The Nurse Family Partnership Program has shown to improve pregnancy outcomes, improve child health and development, and increase economic self-sufficiency.
Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women
Goal: The program has three primary goals:
1) to improve pregnancy outcomes by promoting health-related behaviors;
2) to improve child health, development and safety by promoting competent care-giving; and
3) to enhance parent life-course development by promoting pregnancy planning, educational achievement, and employment.
The program also has two secondary goals: to enhance families’ material support by providing links with needed health and social services, and to promote supportive relationships among family and friends.
Impact: Evaluations of the program have shown that women who were visited by nurses had significantly better outcomes than those who did not in terms of measures such as maternal health, maternal life-course development, child health and safety, and adolescent measures of delinquency.