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 Effective Practice, Health / Children's Health, Children

Goal: The goal of FAM Allies is reduce asthma related hospital stays among children by linking patients, their families, caregivers, and healthcare professionals with resources and education.

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Women, Men, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of the program is for communities to enjoy and have access to affordable fresh food year-round.

Impact: Fresh Stops has improved access to wholesome, local foods for urban residents. In addition, Fresh Stops has engaged community members in the food justice movement and has promoted the adoption of healthy lifestyle changes.

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

CDC

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 Good Idea, Health / Health Care Access & Quality, Adults, Urban

Goal: The goal of this program is to educate during every visit, to assist patients in developing a longitudinal personal record of medical history and care plans, and to provide a tangible way to engage patients in their own care. The overarching goal was better compliance, recognition of medication side effects, and improved adherence to specific and agreed upon lifestyle changes.

Impact: Sixty percent of patients participate in care plan tracking with a health notebook, and 80% percent of patients complete a prep form to help organize visits.

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Children, Women, Families, Urban

Goal: The Homeless Prenatal Program works with families to break the cycle of homelessness and poverty by providing prenatal and parenting support, family finances and stability, and basic needs services.

Filed under Evidence-Based Practice, Community / Public Safety, Older Adults

Goal: The mission of the program is to shape the evolving health system by developing and spreading high-value models of community-based care and self-management for diverse populations with chronic conditions.

Filed under Effective Practice, Economy / Investment & Personal Finance, Families

Goal: The goal of this program was to demonstrate the effectiveness of individual development accounts.

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.