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.

Submit a Promising Practice

The Guided Care Model

Filed under Effective Practice, Health / Older Adults, Adults, Older Adults

Goal: The Guided Care Model aims to better health outcomes and reduce spending for aging adults with multiple chronic conditions.

Impact: The Guided Care Model has been shown to improve quality of care and reduce the use of home health care.

The Healthy Lifestyles Initiative (Greater Kansas City, MO)

Filed under Good Idea, Health / Wellness & Lifestyle, Children, Families

Goal: The Healthy Lifestyles Initiative works to integrate efforts to increase the proportion of Kansas City children and their families practicing healthy behaviors at a healthy weight.

Impact: Collaboration among multiple agencies across public and private sectors resulted in reaching almost 1 million people in the Kansas City area. Healthy weight assessments and plans received at primary care clinics are helping to promote healthy eating and living among children and their families.

The Key Clubhouse of South Florida (Miami-Dade County, FL)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Adults, Urban

Goal: The mission of The Key Clubhouse is to afford people who have been disrupted by mental illness the opportunity to recover meaningful and productive lives through reintegration in the workplace and the community.

Impact: Individuals who participate in a Clubhouse program have been found to have higher rates of employment, reduced hospitalization, reduced incarceration, and improved well-being as compared with other mental health programs.

The Living Room (DuPage County, IL)

Filed under Effective Practice, Health / Mental Health & Mental Disorders

Goal: The end goal of The Living Room is to reduce recidivism to the hospital and pair those in need with the right resources to help them be able to handle their mental health crises and move away from using The Living Room. Additionally, a main goal of The Living Room is matching those in need with a particular peer specialist to create a lasting connection.

Impact: Connects individuals experiencing mental health illness or crises to peer specialists which help reduce recidivism to the emergency room or hospital, help manage future crises, and provide a connection to continued non-clinical support and resources.

The Loading Dock (Baltimore, MD)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: TLD's mission is to increase the supply and use of affordable building materials for housing and community improvement by redirecting landfill-bound, reusable materials into productive use.

The Montana Model (Yellowstone County, MT)

Filed under Effective Practice, Health / Health Care Access & Quality

Goal: The aim of the Montana Model is to provide health care to the 11 percent of the county citizens living below the federal poverty level and the many more living in near poverty, while simultaneously providing a medical clinic with diversity and complexity for family practice residents to obtain enriched training with the public health perspective.

The San Francisco Wraparound Project (San Francisco, CA)

Filed under Good Idea, Community / Crime & Crime Prevention, Children, Teens, Urban

Goal: The mission of The San Francisco Wraparound Project is to prevent violent injury and break the cycle of violence by addressing root causes and risk factors.

Together Learning Choices (TLC) (Los Angeles, New York, San Francisco, and Miami)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Adults, Urban

Goal: The goal of Together Learning Choices was to help HIV-infected youth increase their use of health care, decrease drug and alcohol use and risky sexual behaviors, and improve their quality of life.

Impact: Together Learning Choices (TLC) showed that prevention programs can effectively reduce risk acts among HIV-infected youths.

Triple P - Positive Parenting Program (South Carolina)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families

Goal: Triple P aims to prevent maltreatment and behavioral, emotional and developmental problems in children by strenghtening the knowledge, skills and confidence of parents.

Impact: The program found a 25-35% reduction in child maltreatment, child maltreatment related hospitalizations and injuries, and foster home placements of children for young children at two-year followup of the program.

Triple P - Positive Parenting Program: Palm Beach County (Palm Beach County, FL)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families

Goal: Triple P aims to enhance the knowledge, skills, and confidence of parents to prevent behavioral, emotional, and developmental problems in children and prevent child maltreatment.

Impact: Triple P increased confidence in parenting ability and reduced the incidence of verified maltreatment among participants in the program.

An Effective Practice meets the following HCI criteria:

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.
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:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
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:

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.
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.
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.