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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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Managing Multiple Chronic Conditions with a Community Health Worker Intervention (Philadelphia, PA)

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

Goal: To assess whether an Individualized Management for Patient-Centered Targets (IMPaCT), delivered by community health workers improved patients' chronic disease management and self-rated physical and mental health.

Impact: Individuals with multiple chronic conditions when paired with a community health worker will perceive that their care is higher quality and may have fewer hospitalizations.

Maternal-Child Healthcare Coordination (Santa Ana, Orange County, California)

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

Goal: The mission of MOMS Orange County is to help mothers and their families have healthy babies by providing health coordination, education, and access to community services. MOMS Orange County’s vision is that all babies born in Orange County are healthy at birth.

Impact: Measures such as the percent of babies born at a low birth weight, percent of babies born premature, and the percent of babies admitted to the NICU were all markedly better for program participants when compared to many comparison benchmarks.

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 and Mental Illness: Interventions to Reduce Depression Among Older Adults Clinic-Based Depression Care Management

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends depression care management in primary care clinics for older adults with major depression or chronic low levels of depression (dysthymia) on the basis of sufficient evidence of effectiveness in improving short-term depression outcomes.

Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Home-Based Depression Care Management

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends depression care management at home for older adults with depression on the basis of strong evidence of effectiveness in improving short-term depression outcomes.

Mental Health First Aid Training Program (DuPage County, IL)

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

Goal: The goals of the Mental Health First Aid course are to: 1) learn to identify risk factors and warning signs for mental health and addiction concerns, 2) utilize evidence-based strategies to help someone in both crisis and non-crisis situations, and 3) become a resource in your community to guide people where to turn for help.

NAMI-DuPage's yearly goal is to complete 70 training courses per year.

Impact: Mental Health First Aid helps community members become aware of signs and symptoms of someone in a mental health crisis and become a resource to mental health and behavioral health programs in their community.

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.

Mobile C.A.R.E. Foundation

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children

Goal: The Mobile C.A.R.E. Foundation’s mission is to provide complimentary and comprehensive asthma care and education to children and families in Chicago’s underserved communities via mobile medical units called "Asthma Vans."

Impact: The Mobile C.A.R.E. Foundation’s Asthma Vans provide children and families in Chicago’s underserved communities with complimentary and comprehensive asthma care and education resulting in reduced school absenteeism, decreased ER visits and lower hospitalization rates.

Montgomery Youth Work's Partnership for All Youth (Wheaton, MD)

Filed under Effective Practice, Economy / Employment, Children

Goal: MYW's mission is to provide all youth with meaningful training and job opportunities aimed at facilitating a successful transition from school to work and to contribute to workforce development in Montgomery County.

The purpose of the Montgomery Partnership for All Youth is to expand the skills of workforce development professionals on how to assist youth with disabilities in taking advantage of youth workforce initiatives.

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.